Ukuqunjelwa kwiintsana nabantwana

Ukuqunjelwa kwiintsana nasebantwaneni kwenzeka xa benezitulo ezomeleleyo okanye banengxaki yokudlula izitulo. Umntwana unokuba nentlungu ngelixa edlula izitulo okanye angabinakho ukuhamba ngesisu emva kokuxinana okanye ukutyhala.

Ukuqhinwa kuqhelekile ebantwaneni. Nangona kunjalo, ukuhamba kwamathumbu okuqhelekileyo kwahlukile kumntwana ngamnye.

Kwinyanga yokuqala, iintsana zidla ngokuba nokuhamba kwamathumbu kube kanye ngemini. Emva koko, abantwana banokuhamba iintsuku ezimbalwa okanye kwiveki phakathi kokuhamba kwamathumbu. Kwakhona kunzima ukudlula ilindle kuba izihlunu zesisu zibuthathaka. Ke iintsana zihlala zinexinzelelo, zikhala, kwaye zibomvu ebusweni xa zineentshukumo zamathumbu. Oku akuthethi ukuba bayazibamba. Ukuba intshukumo yamathumbu ithambile, akukho ngxaki.

Iimpawu zokuqunjelwa kwiintsana nabantwana zinokubandakanya:

• Ukuba fussy kakhulu kunye nokutshica rhoqo (iintsana)
• Ubunzima bokupasa izitulo okanye ukubonakala ungonwabanga
• Izitulo ezinzima, ezomileyo
• Intlungu xa ushukuma
• Intlungu yesisu kunye nokudumba
• Izitulo ezinkulu ezibanzi
• Igazi esitulweni okanye kwiphepha langasese
• Imizila yolwelo okanye ilindle kwimpahla yangaphantsi yomntwana (uphawu lokungasebenzi kakuhle kwelindle)
• Ukuba neentshukumo ezingaphantsi kwesithathu ngeveki (abantwana)
• Ukuhambisa imizimba yabo kwiindawo ezahlukileyo okanye ukubamba iimpundu zabo

Qinisekisa ukuba usana lwakho okanye umntwana unengxaki ngaphambi kokunyanga ukuqhina:

• Abanye abantwana abanalo intshukumo yamathumbu yonke imihla.
• Kananjalo, abanye abantwana abasempilweni bahlala benezitulo ezithambe kakhulu.
• Abanye abantwana banezitulo eziqinileyo, kodwa bayakwazi ukuzidlulisa ngaphandle kwengxaki.

Ukuqunjelwa kwenzeka xa isitulo sihlala kwikholoni ixesha elide. Amanzi amaninzi afunxwa yikholoni, eshiya izitulo ezinzima nezomileyo.

Ukuqunjelwa kunokubangelwa:

• Ukungahoyi umnqweno wokusebenzisa indlu yangasese
• Ukungatyi ifayibha eyaneleyo
• Ukungaseli ngokwaneleyo iziselo
• Ukutshintshela kukutya okuqinileyo okanye ukusuka kubisi lwebele ukuya kwifomula (iintsana)
• Utshintsho kwimeko, njengokuhamba, ukuqala isikolo, okanye imicimbi yoxinzelelo

Unobangela wezonyango wokuqhinwa unokubandakanya:

• Izifo zamathumbu, ezinjengezo zichaphazela izihlunu zamathumbu okanye imithambo-luvo
• Ezinye iimeko zonyango ezichaphazela amathumbu
• Ukusetyenziswa kwamayeza athile

Abantwana banokungahoyi umnqweno wokuba nesisu ngoba:

• Abakulungelanga uqeqesho lwangasese
• Bafunda ukulawula ukuhamba kwabo emathunjini
• Baye baba neentshukumo zangaphambili zentlungu kwaye bafuna ukuziphepha
• Abafuni ukusebenzisa isikolo okanye indlu yangasese yoluntu

Ukutshintsha indlela yokuphila kunokunceda umntwana wakho aphephe ukuqhina. Olu tshintsho lunokusetyenziselwa ukunyanga.

Kubantwana:

• Nika umntwana wakho amanzi ongezelelweyo okanye ijusi emini phakathi kokutya. Ijusi inokunceda ukuzisa amanzi kwikholoni.
• Ngaphezulu kweenyanga ezi-2 ubudala: Zama ii-ounces ezi-2 ukuya kwezi-4 (59 ukuya kwi-118 mL) yejusi yeziqhamo (iidiliya, ipere, iapile, itsheri, okanye iprune) kabini ngemini.
• Ngaphezulu kweenyanga ezi-4 ubudala: Ukuba umntwana uqalile ukutya ukutya okuqinileyo, zama ukutya komntwana okunefayibha ephezulu enjengee-ertyisi, iimbotyi, iiapilkosi, iiprem, iiperesi, amapere, iiplamu kunye nesipinatshi kabini ngemini.

Kubantwana:

• Sela iziselo ezininzi ngosuku. Umboneleli wezempilo womntwana wakho unokukuxelela ukuba ungakanani.
• Yitya iziqhamo kunye nemifuno kunye nokutya okunefayibha eninzi, okuziinkozo.
• Kunqande ukutya okuthile okufana netshizi, ukutya okukhawulezileyo, ukutya okulungisiweyo nokwenziwe, inyama, kunye ne-ayisi khrim.
• Yeka uqeqesho lwangasese ukuba umntwana wakho uyaqhinwa. Phinda uqhubeke emva kokuba umntwana wakho engasasebenzi.
• Fundisa abantwana abadala ukusebenzisa indlu yangasese kanye emva kokutya.

Izithambisi zesitulo (ezinjengezo zinesodiyam ye-docusate) inokunceda abantwana abadala. I-laxatives ezinjenge-psyllium zinokunceda ukongeza ulwelo kunye nobuninzi esitulweni. Izincedisi okanye laxatives athambileyo anokunceda umntwana wakho abe nokuhamba kwamathumbu rhoqo. Izisombululo ze-Electrolyte ezinje nge Miralax nazo zinokusebenza.

Abanye abantwana banokufuna i-enemas okanye i-laxatives kagqirha. Ezi ndlela kufuneka zisetyenziswe kuphela xa i-fiber, i-fluids, kunye ne-stool softeners zingaboneleli ngokwaneleyo.

SUKUNIKA i-laxatives okanye i-enemas kubantwana ngaphandle kokuqala ubuze umboneleli wakho.

Fowunela umnikezeli womntwana wakho ngoko nangoko ukuba:

• Usana (ngaphandle kwabo bancanciswayo kuphela) luya kuhamba iintsuku ezi-3 ngaphandle kwesitulo kwaye luyagabha okanye lube nomsindo

Fowunela umnikezeli womntwana wakho ukuba:

• Usana olungaphantsi kweenyanga ezimbini luzelwe
• Iintsana ezingancancisiyo zihamba iintsuku ezintathu ngaphandle kokuhamba kwamathumbu (tsalela umnxeba ngoko nangoko ukuba kukho ukugabha okanye ukucaphuka)
• Umntwana uzibambile ukubamba amathumbu ukuxhathisa uqeqesho lwangasese
• Kukho igazi kwizitulo

Umboneleli womntwana wakho uya kwenza uvavanyo lomzimba. Oku kunokubandakanya uviwo lwe-rectal.

Umboneleli unokukubuza imibuzo malunga nokutya komntwana wakho, iimpawu, kunye nemikhwa yamathumbu.

Ezi mvavanyo zilandelayo zinokunceda ekufumaneni unobangela wokuqhinwa:

• Uvavanyo lwegazi olufana nokubala okupheleleyo kwegazi (CBC)
• X-reyi zesisu

Umboneleli unokucebisa ngokusetyenziswa kwezithambisi zesitulo okanye i-laxatives. Ukuba izitulo zichaphazelekile, i-glycerin suppositories okanye i-saline enemas inokucetyiswa nayo.

Ukungahambi kakuhle kwamathumbu; Ukunqongophala kokuhamba kwamathumbu rhoqo

• Ukuqunjelwa-yintoni oza kuyibuza ugqirha wakho
• Ukutya okuphezulu

• Imithombo yefayibha
• Inkqubo yokugaya ukutya

Kwan KY. Intlungu zesisu. Ku: I-Olimpiki RP, O'Neill RM, Silvis ML, ii-eds. Imfihlo yoNyango oluNgxamisekileyos. IPhiladelphia, PA: Elsevier; I-2018: isahluko 19.

IMaqbool A, iLiacouras CA. Iimpawu eziphambili kunye neempawu zokuphazamiseka kwendlela yokwetyisa. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 332.

IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso. Ukuqunjelwa ebantwaneni. www.niddk.nih.gov/health-information/digestive-diseases/constipation- abantwana. Ukuhlaziywa ngoMeyi 2018. Kufikeleleke ngo-Okthobha 14, 2020.