Ukungahambi kakuhle komchamo kwiintsana: yintoni, iimpawu kunye nonyango

Umxholo

• Ziintoni iimpawu
• Izizathu eziphambili
• Unyango lwenziwa njani

Ukungahambi kakuhle komchamo kuxa umntwana, ngaphezulu kweminyaka emi-5 ubudala, engakwazi ukubamba umchamo emini okanye ebusuku, echamela ebhedini okanye emanzisa ipanty okanye impahla yangaphantsi. Xa ukulahleka komchamo kwenzeka emini, kubizwa ngokuba yi-enuresis yasemini, ngelixa ilahleko ebusuku ibizwa ngokuba yi-enuresis yasebusuku.

Ngokwesiqhelo, umntwana uyakwazi ukulawula i-pee kunye ne-poop ngokufanelekileyo, ngaphandle kwesidingo sonyango oluthile, kodwa ngamanye amaxesha kunokuba yimfuneko ukwenza unyango ngezixhobo zakhe, iziyobisi okanye unyango lomzimba.

Ziintoni iimpawu

Iimpawu zokungahambi kakuhle komchamo zihlala zichongwa kubantwana abadala kuneminyaka emi-5, apho abazali banokuchonga ezinye zeempawu ezinje:

• Ukungakwazi ukubamba i-pee emini, ukugcina iipoyile zakho okanye iimpahla zangaphantsi zimanzi, zifumile okanye zinuka pee;
• Ukungakwazi ukubamba i-pee ebusuku, uchama ebhedini, ngaphezulu kwakanye ngeveki.

Ubudala apho umntwana akwazi ukulawula khona pee emini nasebusuku buyahluka phakathi kweminyaka emi-2 ukuya kwengama-4, ke ukuba emva kwelo nqanaba umntwana kusafuneka enxibe ilweyile emini okanye ebusuku, kuya kufuneka uthethe ugqirha wabantwana ngalo mbandela, njengoko kunokwenzeka ukuba uchonge unobangela wokungakwazi ukuzibamba kwaye, ngenxa yoko, ubonakalise olona nyango lufanelekileyo.

Izizathu eziphambili

Ukungazinzi komchamo emntwaneni kunokwenzeka ngenxa yeemeko ezithile okanye isimilo somntwana, ezona ziphambili zezi:

• Usulelo rhoqo lomchamo;
• Isinyi esigqithisileyo, apho izihlunu ezinceda ukuthintela umchamo ekubalekeni ngokungahambelani ngokungafanelekanga, ekhokelela ekubalekeni komchamo;
• Utshintsho kwinkqubo yemithambo-luvo, enjenge-cerebral palsy, i-spina bifida, ubuchopho okanye umonakalo we-nerve.

• Ukwanda kwemveliso yokuchama ebusuku;
• Ixhala;
• Unobangela wemfuzo, kuba kukho ithuba elingama-40% lokuba umntwana abenako ukondla ebhedini ukuba oku kwenzekile komnye wabazali, kunye nama-70% ukuba bebobabini.

Ukongeza, abanye abantwana banokungahoyi umnqweno wokuchama ukuze baqhubeke nokudlala, nto leyo enokubangela ukuba isinyi sigcwale kakhulu kwaye ekugqibeleni, ekuhambeni kwexesha, ekwenzeni buthathaka izihlunu zommandla we-pelvic, ukuthanda ukungangabambi.

Unyango lwenziwa njani

Unyango lokungasebenzi kakuhle komchamo wobuntwana kufuneka lukhokelwe ngugqirha wabantwana kwaye lujolise ekufundiseni umntwana ukuba aqaphele iimpawu zokuba kufuneka aye kwigumbi lokuhlambela kwaye omeleze izihlunu zommandla we-pelvic. Ke ngoko, ezinye zeendlela zonyango ezinokuthi ziboniswe zezi:

• Iialamu zomchamo, ezizizixhobo ezine-sensor ebekwe kwi-panty yomntwana okanye kwimpahla yangaphantsi kwaye ichukumisayo xa eqala ukuchama, imvuse kwaye imenze abe nomkhwa wokuphakama ayokuchama;
• I-Physiotherapy yokungahambi kakuhle komchamo wobuntwana, ejolise ekomelezeni izihlunu zesinyi, ukucwangcisa ixesha lokuba umntwana achame kunye ne-sacral neurostimulation, eyindlela evuselelayo yokulawula isinyi sphincter;
• Unyango lweanticholinergic, ezinje nge-Desmopressin, i-Oxybutynin kunye ne-Imipramine, ibonakaliswa ikakhulu kwimeko yesinyi esigqithisileyo, njengoko la machiza ezolisa isinyi kwaye anciphisa imveliso yomchamo.

Ukongeza, kuyacetyiswa ukuba ungamniki ulwelo umntwana emveni kwentsimbi yesi-8 ebusuku kwaye uthathe umntwana ukuba achame phambi kokuba alale, kuba ngale ndlela kunokwenzeka ukuthintela isinyi ukuba singagcwali kwaye umntwana achame ebhedini ebusuku .