Encopresis

Umxholo

• Iimpawu ze-encopresis
• Yintoni ebangela umntwana ukuba akhule encopresis?
• Izinto ezonyusa umngcipheko womntwana wakho
• Ichongwa njani i-encopresis?
• Inyangwa njani i-encopresis?
• Ukususa ibhloko
• Utshintsho kwindlela yokuphila
• Ukulungiswa kokuziphatha
• Iingcebiso ngokwengqondo
• Ndingamnceda njani umntwana wam ukuba aphephe i-encopresis?

Yintoni i-encopresis?

I-Encopresis ikwabizwa ngokuba kukungcola komhlaba. Kwenzeka xa umntwana (ngesiqhelo engaphezulu kweminyaka yobudala be-4) eneentshukumo zamathumbu kunye nomhlaba ibhlukhwe yakhe. Le ngxaki ihlala inxulunyaniswa nokuqunjelwa.

Ukuqunjelwa kwenzeka xa isitulo sixhaswa emathunjini. Ukunyanga ukuqhina kuya kususa ukungcola, nangona kungathatha ixesha.

Iimpawu ze-encopresis

Olona phawu luxhaphakileyo lwe-encopresis zingcolile zangaphantsi. Ukuqunjelwa kwenzeka ngaphambi kwe-encopresis, kodwa kungangaziwa. Ukuba umntwana wakho akanayo intshukumo yamathumbu kwiintsuku ezintathu okanye udlula nzima, izitulo ezibuhlungu, banokuqunjelwa.

Ezinye iimpawu zingabandakanya:

• ukungabikho komdla
• intlungu zesisu
• usulelo lomchamo

Umntwana wakho unokuziva eneentloni kunye netyala ngenxa yokungcola. Banokude bagezelwe nasesikolweni xa abo bafunda nabo befumanisa ngale ngxaki. Ngenxa yoko, abanye abantwana banokubonisa iimpawu zokuziphatha ngokufihlakeleyo kumba lowo. Umzekelo, banokufihla iimpahla zabo zangaphantsi ezingcolileyo.

Yintoni ebangela umntwana ukuba akhule encopresis?

Umcimbi we-Fecal unokuba nzima kwaye kunzima ukuwudlula ukuba umntwana wakho akafumani ngokwaneleyo ifayibha, amanzi, okanye umthambo, okanye ukuba ubambe intshukumo yamathumbu. Oku kunokubangela ukuba ukuhamba kwamathumbu kube buhlungu. Ingxaki yelindle okanye ulwelo oluthambileyo emva koko inokuvuza ijikeleze isitulo esinzima kwi-rectum nakwiibhulukhwe zangaphantsi zomntwana. Umntwana akakwazi ukulawula ngengqiqo lo mhlaba ungcolileyo.

Ngamanye amaxesha, amathumbu anokukhula ngokokuvalwa kwelindle kangangokuba umntwana wakho aphulukane nemvakalelo yokufuna ukungcola.

Unobangela oqhelekileyo wokuqhinwa okhokelela kwi-encopresis kubandakanya:

• ngaphantsi kokuhamba kwamathumbu rhoqo ngeentsuku ezintathu
• ukutya okune-fiber encinci
• akukho nto ingako yokwenza umthambo
• ukunqongophala kwamanzi
• uqeqesho lwangasese kwangoko

Izizathu eziqhelekileyo eziqhelekileyo zengqondo zingabandakanya:

• iingxaki zokuziphatha, ezinje ngengxaki yokuziphatha
• usapho, isikolo, kunye nabanye abaxinzelelo
• ixhala lendlu yangasese

Kungenxa yokuba i-encopresis inxulunyaniswa noonobangela bengqondo akuthethi ukuba iimpawu ziphantsi kolawulo lomntwana wakho. Akunakwenzeka ukuba bangazingcolisi ngenjongo. Ingxaki inokuqala ngenxa yeemeko ezilawulekayo, ezinje ngokoyika ukusebenzisa indlu yangasese kawonkewonke okanye ukungafuni ukuqeqeshwa kwindlu yangasese, kodwa iba yinto engazibandakanyi ekuhambeni kwexesha.

Izinto ezonyusa umngcipheko womntwana wakho

Imiba ethile yomngcipheko oqhelekileyo inyusa amathuba okuba umntwana wakho akhule nge-encopresis. Oku kubandakanya:

• izihlandlo eziphindaphindiweyo zokuqhinwa
• ukutshintsha indlela yangasese yomntwana wakho yangasese
• uqeqesho lwendlu yangasese olungalunganga

NgokweMpilo yeStanford yaBantwana, amakhwenkwe anamathuba aphindwe kathandathu okuphuhlisa i-encopresis kunamantombazana. Isizathu salo mahluko asaziwa.

Eminye imiba yomngcipheko engaqhelekanga ye-encopresis ibandakanya:

• iimeko zempilo ezibangela ukuqhina, njengesifo seswekile okanye i-hypothyroidism
• ukuxhatshazwa ngokwesondo
• ukuphazamiseka ngokweemvakalelo nokuziphatha
• ukukrazuka kwethishu kwi-rectum, edla ngokuba sisiphumo sokuqhinwa okungapheliyo

Ichongwa njani i-encopresis?

I-Encopresis ifunyaniswa ichongwa ngokusekwe kwiimpawu ezichaziweyo, imbali yezonyango, kunye novavanyo lomzimba. Uvavanyo lomzimba lunokubandakanya uviwo lwe-rectum. Ugqirha womntwana wakho uya kujonga isixa esikhulu semicimbi eyomileyo kwaye enzima yelindle.

Ngamanye amaxesha i-X-ray esiswini ngamanye amaxesha isetyenziselwa ukunceda ukumisela inani le-fecal buildup, kodwa kuhlala kunganyanzelekanga okanye kungacetyiswa.

Uvavanyo lwengqondo lunokusetyenziselwa ukujonga unobangela osisiseko weemvakalelo wale ngxaki.

Inyangwa njani i-encopresis?

Ukususa ibhloko

Ugqirha womntwana wakho unokuyalela okanye acebise imveliso ukususa ukubhloka kunye nokukhulula ukuqhina. Ezi mveliso zinokubandakanya:

• i-oyile yezimbiwa
• enemas
• laxatives

Utshintsho kwindlela yokuphila

Kukho iinguqulelo ebomini ezinokunceda umntwana wakho ukuba oyise i-encopresis.

Ukwamkela ukutya okuphezulu kwifayibha kuya kukhuthaza ukuhamba kwamathumbu. Imizekelo yokutya okunesinga eliphezulu ibandakanya:

• amaqunube
• isiriyeli yombumba
• iimbotyi
• iidiliya
• ibrokholi

Kubantwana abaneminyaka emi-4 ukuya kwe-8, ukusela iikomityi ezintlanu zamanzi yonke imihla kunokunceda ukugcina izitulo zithambile ukuze kudlule lula. Ukuthintela ukusetyenziswa kwecaffeine kunokunceda ekuthinteleni ukomisa.

Ukuzivocavoca imihla ngemihla kunceda ukuhambisa izinto emathunjini. Khuthaza umntwana wakho ukuba azilolonge rhoqo. Ukunciphisa ixesha leendaba kunokonyusa inqanaba lomsebenzi womntwana wakho.

Ukulungiswa kokuziphatha

Sebenzisa iindlela zokuziphatha ukuze uvuze umntwana wakho ngokuhlala kwindlu yangasese, ukutya ukutya okunefayibha ephezulu, kunye nokusebenzisana nonyango njengoko kucetyisiwe. Imivuzo ingahluka ukusuka kwindumiso efanelekileyo ukuya kwizinto ezibonakalayo, ngokude kubekho ukungqinelana. Kuphephe ukungxolisa umntwana wakho ngokungcola. Oku kunokunyusa uxinzelelo lwabo malunga nokuya kwindlu yangasese. Endaweni yoko, zama ukuhlala ungathathi cala emva kwesehlo esibi.

Iingcebiso ngokwengqondo

Ukuba uxinzelelo lweemvakalelo okanye ingxaki ekuziphatheni ikhona, umntwana wakho unokufuna iingcebiso zengqondo. Umcebisi unokunceda ukulungisa imiba enxulumene noko. Banokunceda abantwana bakhulise izakhono zokujamelana nokwakha ukuzithemba. Banokufundisa ngeendlela ezifanelekileyo zokuguqula indlela yokuziphatha kubazali.

Ndingamnceda njani umntwana wam ukuba aphephe i-encopresis?

Sebenzisa indlela esempilweni xa uqeqesha umntwana wakho ngasese. Sukuqala uqeqesho lwangasese de abe umntwana wakho ukulungele. Ngokwesiqhelo, abantwana abakakulungeli ukuqeqeshwa de kube emva kweminyaka emi-2 ubudala. Bukela ngokusondeleyo nasiphi na isitulo esinzima okanye esibuhlungu okanye naziphi na iimpawu ezibamba izitulo okanye boyika ukusebenzisa indlu yangasese. Ukuba oku kuyenzeka, buyela kuqeqesho lwangasese okwangoku kwaye uthethe nogqirha wabo malunga nendlela yokuqhubeka kunye nokugcina izitulo zabo zithambile.

Ezinye iindlela zokuthintela i-encopresis zibandakanya:

• Ukuqinisekisa ukuba umntwana wakho utya ukutya okunesinga eliphezulu
• ukukhuthaza umntwana wakho ukuba asele amanzi amaninzi
• ukwenza umthambo rhoqo nomntwana wakho