Ingabe ingane yakho inake izingozi (ukuthungwa kwamafecal)?
Abavame ukucabanga ukuthi lezi zingozi zenziwa ngenhloso, kodwa kaningi zibangelwa i-encopresis.
Lezi zingozi zenzeka lapho abantwana bevuza isikhumba, ngokuvamile ngokungazibandakanyi, bangene ezingaphansi zabo zangaphansi, ngemuva kokuba sebeqeqeshiwe ngamanzi. Nakuba ukushisa kungase kube yinkinga encane kunesifo se-anatomiki, njengengculaza, isifo se-meningomyelocele, izifo ze-muscle, noma emva kokuhlinzwa okudala, ngokuvamile kuvame ukungena nge-encopresis.
Encopresis
I-Encopresis iyinkimbinkimbi yokuqothulwa okungapheli, futhi kuyamafutha emzimbeni ngokulahlekelwa izitshalo ezinomumo ovame ukwakhiwa noma okuvamile, okungenzeka kube yimfucumfucu, engaphansi kwezingubo zangaphansi kwengane. Uma umntwana eseqothuka futhi enezihlalo ezinzima futhi ezibuhlungu, angase aqale ukubamba izinyathelo zokuzivikela ukuze avimbele ukulimaza futhi. Lokhu kudala umjikelezo okwenza ukuqothulwa kuqhubekele futhi kuqhubekele phambili, ekugcineni kuholele ekutheni kube khona ukucindezeleka okukhulu kwe-fecal kanye ne-rectal (okungawenza ukuthi i-rectum ingacabangi futhi ayikwazi ukubamba ngisho nesamba esincane se-stool). Ukuma ngemuva kokuzibandakanya kuqala ukuvuza ngokuzungezile, futhi ekugcineni kuvuza ku-rectum, ngaphandle kwengane ukuyiqaphela noma ukukwazi ukuyifaka.
Umntanakho angase abe nezinkukhu ezinkulu kakhulu, ezingapheli, ezinzima zamathumbu ezibuhlungu noma ezingavula ngisho nendlu yangasese. Ngemuva kokunyakaza okukhulu kwamathumbu, ukusalela kungase kuthuthuke, kuze kudlule isikhathi esanele futhi impendulo yakha futhi.
Izingane ezine-encopresis nazo zingase zibe nezinambuzane ezincane, ezinzima, ezinjengebhola, okungaholela abazali ukuba bacabange ngokuqothulwa uma kwenzeka njalo ngosuku.
Nakuba i-encopresis ibonakala ngokufanayo kubafana namantombazane ezinganeni ezincane, ngokukhula kwesikole, kuvame kakhulu kubafana.
Ukwelapha
Ukwelashwa kwe-encopresis kufanele kufaka phakathi ukwelashwa kwesibindi sokumbumbuluzwa.
Lokhu kungase kuhlanganise nomhlahlandlela 'wokuhlanza' we-enemas, suppositories noma umthamo ophakeme Miralax noma amafutha omaminerali ukukhipha isisekelo esisekelwe noma esithintekayo.
Ezinye zokwelapha zihlose ukuthuthukisa ukudla kwengane yakho.
Ukudla okujwayelekile okungase kuqinisekiswe ingane kungase kuhlanganise nokudla okuningi okungenamsoco futhi kungaba yi-fiber ephansi, amafutha aphezulu, anezinhlanzi ezimbalwa. Ukugcina lokho engqondweni, ezinye izinyathelo zokuthuthukisa ukudla kwengane yakho zihlanganisa:
- Ukwandisa uketshezi: Ukwandisa inani lemanzi ingane yakho ephuza usuku ngalunye.
- Ukwandisa i-fiber: Ukwandisa inani lemikhiqizo ephezulu ye-fiber okudliwa yingane yakho, njengezithelo nemifino. Izithelo ezinomsoco nemifino (ikakhulukazi ubhontshisi, amazambane, ama-peas, imifino yokuguqula, utamatisi obuluhlaza, kanye nommbila) banesibindi esikhulu. I-Popcorn nayo inezintambo eziningi kuyo. Izingane kufanele zidle cishe ama-fiber angu-14g kuwo wonke amakholori angu-1 000 adla. Funda ukuhlola ilebula lokudla okunomsoco wokudla okuphezulu kwe-fiber nokudla okulula okungenani ama-3-4g we-fibre ngokukhonza. Isidlo semifino siphezulu kakhulu ku-fiber futhi sengeze uketshezi oluthe xaxa ekudleni kwengane yakho.
- Ukwandisa uketshezi ekudleni kwengane yakho ngokunikeza okusanhlamvu kwe-bran, ama-muffin we-bran, ukolweni obhalwe shredded, ama-crackers we-graham, noma isinkwa sonke sikakolweni.
- Ukunciphisa ukudla okuqothulayo: Lokhu kubandakanya ubisi lonke, i-yogurt, ushizi, izaqathe eziphekwe, nobhanana. Kwabanye abantwana, ukushintshwa kwesoyi noma ubisi lwelayisi kuye kwaboniswa ukuze unciphise izitshalo. Uma ingane yakho ingakwazi ukuphuza ubisi, khona-ke unikele nge-multivitamin nsuku zonke noma eminye imithombo ye-calcium.
Kuze kube yilapho ukuqotshwa kwengane yakho kuthuthukile ngokudla okungeyona yokuqeda ukudla, ingane yakho cishe izobe isesimweni sokunciphisa izithameli. Iningi lala mithi iyatholakala ekhemisi ngaphezu kwekhasi futhi ayidingi imithi. Zihlanganisa iMalalax, Ubisi WaseMagnesia, namafutha amaminerali. Ngokungafani nama-laxatives kubantu abadala, ngokuvamile akabhekwa njengokwenza umkhuba. Kufanele uwasebenzise nsuku zonke, ngomgomo wengane yakho enomtholampilo BM nsuku zonke. Uma ingane yakho iqala ukuba nesifo sohudo, uhlinzeka ngokweqile futhi kufanele uthathe umthamo.
Ama-Schedule Amashadi
Olunye ukwelashwa olubalulekile lwe-encopresis nokuqothulwa ukuphathwa kokuziphatha ukuze ingane yakho ifunde ukuba nokunyakaza kwamathumbu ngosuku ngalunye.
Kumele ukhuthaze ingane yakho ukuba ibe namaphethini avamile emathunjini. Yenza ingane yakho ihlale endlini yangasese cishe imizuzu emihlanu kuya kweyishumi emva kokudla izikhathi ezingu-2-3 ngosuku.
Ukusetshenziswa kwemivuzo elula noma ikhalenda yansuku zonke enezinkanyezi noma izinsimbi zezinsuku ingane yakho ezithatha imithi yakhe futhi inomthelela wezinsizi kungasiza. Ingane yakho akudingeki ukuthi ibe nokunyakaza kwesilwane ngasinye kulezi zikhathi, futhi akufanele umjezise uma engenjalo. Kubaluleke kakhulu ukuthi uthola umkhuba ojwayelekile wokuzama ukunyakaza.
Futhi khumbula ukuthi ukuvuza kwe-stool kuyinto engacabangi. Ingane yakho ayikwenzi ngenhloso futhi akufanele ijeziswe noma ihlazeke uma kwenzeka. Ukuthunjwa nokwelula kwe-rectum yakhe kusukela esitokisini esithintekayo kungathatha isikhathi esiningi ukuba ubuyele esimweni esivamile, futhi kuze kube yilapho sikwenza, angase akwazi ukuqonda noma ngokuzithandela ukubamba konke ukuhamba kwakhe kwamathumbu, futhi ukuvuza kungaqhubeka ngisho nokuphathwa ngendlela efanele.
I-Encopresis ngezinye izikhathi ingase ibe nzima ukuyiphatha, kanti udokotela wezingane angase acabange ekukudlulisela kuGastroenterologist yezingane ukuze uthole ukuphathwa okuqhubekayo uma engaphuthuli esimweni sakhe samanje sezokwelapha.