Ingabe ingane yakho ivame ukuba nobuhlungu besisu? Awukwazi ukuthola isizathu salokho? (Ubuhlungu Besisu Obusebenzayo)

Ingabe ingane yakho encane ihlala ithi, "Mama, isisu sami sibuhlungu?" Cishe uzizwa wesaba kakhulu uma usho lokho, akunjalo? Uma uya kudokotela bese bethi, "Yilokhu okungahambi kahle," noma okunye, kuyakhathaza nakakhulu. Yileyo ndlela esizokhuluma ngayo ngobuhlungu besisu obuzwiwa yingane ngempela, yize kungekho sizathu esicacile esingatholakala. Odokotela bakubiza ngokuthi "Ubuhlungu Besisu Obusebenzayo." Ngezinye izikhathi kubizwa nangokuthi "Isifo Sobuhlungu Besisu Esiphakathi." Ake sixoxe ngalokhu kalula, ngolimi lwethu. Kuyini Ubuhlungu Besisu Obusebenzayo? Kalula nje, "Ubuhlungu Besisu Obusebenzayo" yilapho ingane inobuhlungu besisu, futhi udokotela ebuhlola, kodwa engakwazi ukuthola imbangela ethile yomzimba (isibonelo, isilonda samathumbu, izimpethu, ukutheleleka). Kodwa-ke, lokhu akusho ukuthi ingane iyaqamba amanga. Ubuhlungu bukhona ngempela. Cabanga nje, odokotela bafuna izimpawu eziningana ezinjengalezi ukuze bathole lesi simo:

• Lokhu kuhlungu kwesisu kufanele kwenzeke okungenani kane ngenyanga .
• Kufanele kuqhubeke kanje okungenani izinyanga ezimbili .
• Esikhathini esiningi, lobu buhlungu abuhlali isikhathi esingaphezu kwehora.
• Lokhu buhlungu besisu akubonakali kuhlobene kakhulu nokudla, ukugijima, noma ukuya endlini yangasese.
• Ingane enalesi simo ikhula ibe yinde kakhulu futhi iphilile. Ukwehla kwesisindo akuvamile ukubonakala.
• Nokho, ngezinye izikhathi lobu buhlungu bungakhula uma kukhona ukucindezeleka noma ukukhathazeka .

Izindaba ezinhle ukuthi iningi lezingane ezine-"Ubuhlungu Besisu Obusebenzayo" liba ngcono phakathi kwamasonto noma izinyanga ezimbalwa. Akuvamile ukuthi kuvele inkinga enkulu, yesikhathi eside.

Yiziphi ezinye izimpawu ezikhona ngaphandle kobuhlungu besisu?

Into eyinhloko ubuhlungu besisu okhulume ngaso. Kodwa-ke, ingane ingase ibhekane nezinye izinkinga ezifana nalezi:

• Isicanucanu: Lokhu kusho ukuzizwa sengathi uzohlanza noma isisu sakho siyaphenduka.
• Ikhanda elibuhlungu: Kuvamile ukuthi abanye abantwana babe nekhanda elibuhlungu kanye nokuphazamiseka kwesisu.
• Isiyezi: Umuzwa wokuba nekhanda elithambile kanye nekhanda elijikelezayo .
• Ukuzizwa ukhathele kakhulu: Ungase uzizwe ukhathele kakhulu kangangokuthi awukwazi ukwenza lutho.

Lezi zimpawu azibonakali kuzo zonke izingane ngendlela efanayo. Ezinye izingane zingase zibe nesisu esibuhlungu kuphela, kanti ezinye zingase zibe nesinye noma ngaphezulu salezi zimpawu ezengeziwe.

Kungani lokhu kubuhlungu kwesisu okusebenzayo kwenzeka? Iyini imbangela?

Eqinisweni, odokotela abakaqiniseki ngokuphelele ukuthi yini ebangela ubuhlungu besisu obusebenzayo. Kodwa-ke, kunemibono eminingana. Kucatshangwa ukuthi kuhlobene nokuzwela ku-axis yobuchopho namathumbu, uhlelo lwesignali yezinzwa phakathi kobuchopho bethu namathumbu . Kalula nje, amathumbu abanye abantwana azwela kakhulu kunomuntu ojwayelekile ngisho nasezintweni ezilula (isibonelo, lapho isisu noma i-rectum inwebeka kancane). Ngenxa yalokhu kuzwela kwe-visceral, laba bantwana bangase babe nobuhlungu ngisho noma bengazizwa lutho. Ukusebenza kwalezi zimpawu zezinzwa kungahluka kancane. Lesi simo sivame ukubonakala ezinganeni eziphakathi kweminyaka engu-4 nengu-16. Ngezinye izikhathi, lolu hlobo lobuhlungu lungaqala futhi ngemva kokutheleleka kwamathumbu kwangaphambilini. Okusho ukuthi, ngisho nangemva kokuba igciwane lesisu selihambile futhi laphola, ukuzwela kwamathumbu kungaqhubeka kwanda isikhashana. Futhi, ukucindezeleka kunomthelela omkhulu kulokhu. Cabanga, uma bekukhona ushintsho olukhulu endaweni yasekhaya (ukuthuthela endlini entsha, ukushintsha izikole, izinkinga zomndeni, ukuhlukana kwabazali, njll.), lokhu kubuhlungu kwesisu kungahlobene nezehlakalo ezinjalo ezicindezelayo . Kukhona abanye abantwana, bazwela kancane , bakhathazeka kalula. Abantwana abanjalo banamathuba amaningi okuba nalesi simo.

Udokotela ukuhlonza kanjani ngokunembile lokhu njengobuhlungu besisu obusebenzayo?

Uma utshela ingane yakho ngobuhlungu besisu obunjengalobu, into yokuqala udokotela angayenza ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha ezingathi sína. Lokhu kungafaka:

• Buza ingane yakho nawe ngokwakho ngezimpawu: Buza ingane yakho nawe ngokwakho ngohlobo lobuhlungu, ukuthi sebukhona isikhathi esingakanani, nokuthi yiziphi ezinye izinkinga ezihlobene nobuhlungu. Ikakhulukazi, bheka ukwehla kwesisindo, ukwehluleka ukukhula, umkhuhlane, ubuhlungu bomzimba, ukuhlanza okuqhubekayo, igazi esitulweni , kanye nezimpawu "ezibomvu" ezifana ne-arthritis.
• Ukuhlolwa komzimba: Ingane ihlolwa kahle. Isisu siyashaywa futhi kuhlolwa nezinye izinkinga.
• Ukuhlolwa okuyisisekelo: Ngokuvamile, kwenziwa ukuhlolwa kwegazi okuningana kanye nokuhlolwa kwendle kwegazi elingabonakali. Lokhu kunganikeza umbono wokuthi kukhona yini ukuvuvukala emathunjini.
• Ukubuza ngokucindezeleka:Siphinde sibuze ngezinguquko zakamuva empilweni yengane, izinkinga esikoleni, kanye nezinto ezibangela ukucindezeleka ekhaya. Ngoba, njengoba sishilo ngaphambili, ukucindezeleka kungathinta lokhu.

Into ebalulekile ukuthi uma ingane ingenazo "izimpawu eziyisixwayiso" okukhulunywe ngazo ngaphambili, uma ukuhlolwa ngokomzimba kuyinto evamile, futhi uma ukuhlolwa kwegazi nendle kuyinto evamile ngaphandle kwezinkinga ezinkulu, khona-ke ezimweni eziningi asikho isidingo sokwenza ezinye izivivinyo ezinkulu neziyinkimbinkimbi (isb., `(Endoscopy)`, `(Ultrasound Scan)`). Udokotela uzophetha ngokuthi `(Ubuhlungu Besisu Obusebenzayo)` bukhona kuphela ngemva kokuba ezinye izimbangela ezinkulu sezikhishiwe.

Yiziphi izindlela zokwelapha lokhu? Ngingalulama kanjani?

Uma kukhulunywa ngokwelapha ubuhlungu besisu obusebenzayo, ayikho indlela eyodwa efanela bonke. Ukwelashwa kungahluka kuye ngengane, kuye ngohlobo lwezimpawu. Odokotela bangase bakwelaphe besebenzisa enye noma inhlanganisela yalezi zindlela:

• Izinguquko ekudleni:
• Okunye ukudla, njengeklabishi, i-broccoli ne-cauliflower, kanye nobhontshisi, kungase kucebiswe ukuthi kuncishiswe ukudla .
• Kuhle ukunciphisa izinto ezifana nokudla okunamafutha, okuthosiwe, kanye nokudla okusheshayo .
• Iziphuzo ezine-carbon ezifana ne-soda, iziphuzo ezinoshukela, kanye nokudla okunongwe nakho kungaba yinkinga kwabanye abantwana.
• Ezinye izingane zingase zihlolwe izimo ezifana nokuthi “ukungabekezelelani ne-lactose” futhi zicelwe ukuthi zinciphise ubisi nokudla kobisi uma kudingeka.
• Imithi (izidakamizwa):
• Kunemithi enganikezwa ukunciphisa ubuhlungu besisu kanye nokuqaqamba kwamalunga.
• Uma unomuzwa wokuthi i-asidi esiswini iphakeme kakhulu, imithi eyinciphisayo (isib., ama-antacid, ama-proton pump inhibitors ) inganikezwa isikhathi esifushane.
• Ngezinye izikhathi, udokotela angase anikeze nemithi ephansi ethinta uhlelo lwezinzwa (njenge-Amitriptyline) ukusiza ekunciphiseni ukuzwela ubuhlungu. Kodwa-ke, le mithi inikezwa ngokuqapha.
• Uma ubuhlungu sebuphezulu kakhulu, ungase welulekwe ukuthi usebenzise umuthi wokuqeda izinhlungu (isib. i-paracetamol) isikhathi esifushane.
• Amasu Okweluleka Noma Okuphumula:
• Lesi yisici esibaluleke kakhulu. Ukwelulekwa noma ukwelashwa kwengqondo kungaba usizo kakhulu ekunciphiseni ukucindezeleka nokukhathazeka kwengane kanye nokufunda indlela yokubhekana nemizwa enjalo.
• Ukuzijwayeza ukuzivocavoca kokuphefumula, ukuzindla ngokucabanga, kanye namasu okuphumula njenge-yoga kungaba yindlela enhle yokusiza ekulawuleni ubuhlungu.

Kunini lapho udinga ukubonana nodokotela futhi?

Uma ingane yakho itholakale ukuthi inobuhlungu besisu obusebenzayo, ngokuvamile asikho isidingo sokukhathazeka ngakho. Kodwa-ke, uma kuvela noma yiziphi zalezi "zimpawu eziyisixwayiso" ezintsha, kufanele nakanjani ubone udokotela futhi maduze:

• Uma kukhona igazi esitulweni (esimnyama noma esibomvu).
• Uma isifo sohudo siqhubeka izinsuku ezingaphezu kwezimbili , ikakhulukazi uma sinamanzi.
• Uma ukuhlanza kuqhubeka izinsuku ezingaphezu kwezimbili , noma uma ukuhlanza kukhulu.
• Uma kukhona igazi ekuhlanzeni (njengokuhlanzwa kwekhofi noma okubomvu).
• Uma ubuhlungu besisu buqhubeka isikhathi esingaphezu kwehora , noma uma ubuhlungu buba bubi kakhulu.
• Uma unomkhuhlane ophezulu (ikakhulukazi ngaphandle kwesinye isizathu).
• Uma ingane ilahlekelwe yisifiso sokudla futhi yehlise kakhulu ukudla kwayo noma ingakwazi ukudla nhlobo.
• Uma uzwa ubuhlungu noma ukushisa lapho uchama .
• Uma une-constipation futhi ungakaze uye endlini yangasese izinsuku eziningi, futhi kungakhululekile enganeni.
• Uma amalunga evuvukele futhi ebuhlungu.
• Uma kulimaza isikhumba.
• Uma ingane yehlisa isisindo noma inenkinga ngokuphakama.

Uma ubona uphawu olufana nalolu, kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngokushesha, ngoba kungaba yinto ehlukile "kubuhlungu besisu obusebenzayo".

Singabasiza kanjani abazali bethu ingane yethu?

Izingane Ezinobuhlungu Besisu Obusebenzayo ngezinye izikhathi zingase zizwe zidabukile noma zikhathazekile njengoba ziphila nobuhlungu. Kuvamile ukuthi zizwe zidabukile lapho ziphuthelwa umsebenzi wesikole futhi zidlala. Ngakho-ke, njengomzali, ungayisekela ingane yakho ngalezi zindlela:

• Gcina ingane yakho imatasa emisebenzini yansuku zonke: Ngangokunokwenzeka, khuthaza ingane yakho ukuba yenze izinto ezivamile, njengokuyithumela esikoleni, ukudlala imidlalo nezinto zokuzilibazisa ezijabulelayo, nokuchitha isikhathi nabangani nomndeni. Ukubeka yonke into eceleni nokuyigcina ekhaya ngenxa yobuhlungu kuzokwenza ingane icabange ngakho kakhulu.
• Qinisekisa ingane: "Akukho sizathu esingathi sína salobu buhlungu. Lokhu kuyinto eyenzeka ezinganeni eziningi. Kuzolulama maduze." Qinisekisa ingane futhi wakhe ukuzethemba kwayo.
• Ungakhulumi ngobuhlungu bengane yakho ngaso sonke isikhathi: Yebo, lalela ingane yakho lapho ikhuluma ngobuhlungu bayo, futhi uyiduduze. Kodwa ungabuzi njalo imibuzo efana nokuthi, "Ingabe isisu sakho sibuhlungu? Uzizwa kanjani manje?" usuku lonke. Kunalokho, gxila kulokho abakushoyo, amakhono abo, kanye nemisebenzi yabo. Izingane zingazizwa zicindezelekile futhi zilimele nakakhulu uma zibona abazali bazo bekhathazeka kakhulu ngabo.
• Cabanga nangempilo yakho yengqondo: Uma uzizwa ucindezelekile noma ukhathazekile ngesimo sengane yakho, khuluma nomeluleki ukuze uthole usizo. Akuyona into okufanele ube namahloni ngayo. Ungasiza ingane yakho kuphela uma uphilile.
• Cabanga ngokwelulekwa kwengane yakho: Cabanga ngokunikeza ingane yakho ukwesekwa ngumeluleki wezingane ukuze ayisize ilawule imizwa yayo, ifunde indlela yokubhekana nobuhlungu, futhi izijwayeze izindlela zokuphumula.

Ngakho-ke, yini into ebaluleke kakhulu okufanele siyithathe ekhaya kule ndaba? (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho (Ubuhlungu Besisu Obusebenzayo). Okokugcina, khumbula la maphuzu:

• Kalula nje, "Ubuhlungu Besisu Obusebenzayo" buyisifo sesisu esenzeka ezinganeni futhi esingenakutholakala sinembangela ecacile yomzimba ngokuhlolwa, kodwa empeleni sizwiwa yingane.
• Lokhu ngokuvamile akulona uphawu lokugula okukhulu nokuyingozi. Uma ingane yakho ikhula kahle, inganciphisi isisindo, futhi ihlolwe udokotela futhi iqinisekisile ukuthi ayikho enye inkinga enkulu, ungakhathazeki ngokungadingekile.
• Izici zengqondo ezifana nokucindezeleka, ukukhathazeka, nezinkinga esikoleni zingathinta ngqo lobu buhlungu. Ngakho-ke, kubaluleke kakhulu ukunakekela impilo yengqondo yengane yakho njalo nokukhuluma nayo.
• Ukwenza izinguquko ezincane ekudleni kwakho, ukusebenzisa imithi enikezwe udokotela uma kudingeka, ikakhulukazi amasu okuphumula kanye nokwelulekwa kuyindlela enhle yokwelapha lesi simo.
• Uma ingane yakho ithola izimpawu ezintsha nezingathi sína (“izimpawu eziyisixwayiso” esikhulume ngazo ngaphambili) ezazingenazo ngaphambili, kufanele ubone udokotela ngokushesha.
• Njengabazali, into engcono kakhulu eningayenza ukubekezela, ukuqonda, nokusekela ingane yenu ngothando kulolu hambo. Ukusekela kwenu kuzoba amandla amakhulu enganeni yenu!