Ukusebenza ngaphezulu kwesinye kubantwana: oonobangela, isifo, kunye nonyango

Umxholo

• Bakwabuphi ubudala abantwana ekufuneka bakwazi ukulawula isinyi sabo?
• Iimpawu ze-OAB
• Ukumanzisa ibhedi
• Yintoni ebangela i-OAB ebantwaneni?
• Nini ukubona ugqirha
• Ukunyanga i-OAB ebantwaneni
• Ukuqeqeshwa kwakhona kwesinyi
• Amayeza
• Unyango lwasekhaya

Isinyi kakhulu

Isinyi esingaphaya kokusebenza (i-OAB), uhlobo oluthile lokungabinamchamo, yimeko eqhelekileyo yobuntwana echazwe ngumnqweno wokuchama ngequbuliso nongalawulekiyo. Ingakhokelela kwiingozi emini. Umzali unokucela umntwana ukuba afune ukuya kwigumbi lokuhlambela. Nangona umntwana esithi hayi, baya kuba nemfuno engxamisekileyo yokuhamba imizuzu kamva. I-OAB ayifani nokumanzisa ebhedini, okanye i-enuresis yasebusuku. Ukumanzisa ebhedini kuyinto exhaphakileyo, ngakumbi kubantwana abancinci.

Iimpawu ze-OAB zinokuphazamisa indlela yemihla ngemihla yomntwana. Kubalulekile ukusabela kwiingozi zasemini ngomonde kunye nokuqonda. Ezi zehlo zihlala zichaphazela ukukhula komntwana ngokwasentlalweni kunye neemvakalelo. Ezinye iingxaki zomzimba ze-OAB ebantwaneni zezi:

• ubunzima bokukhupha isinyi ngokupheleleyo
• umngcipheko owandileyo wokonzakala kwezintso
• umngcipheko owandileyo wosulelo lomchamo

Thetha nogqirha wakho ukuba ukrokrela ukuba umntwana wakho une-OAB. Kwiimeko ezininzi, i-OAB iyahamba nexesha. Ukuba akunjalo, lukhona unyango kunye neendlela zasekhaya ezikhoyo zokunceda umntwana wakho oyise okanye alawule le meko.

Bakwabuphi ubudala abantwana ekufuneka bakwazi ukulawula isinyi sabo?

Ukumanzisa kubantwana abangaphantsi kweminyaka emi-3 kuqhelekile. Uninzi lwabantwana luya kuba nakho ukulawula isinyi emva kokuba bejike kwiminyaka emi-3, kodwa le minyaka isenokwahluka. I-OAB ihlala ifunyaniswa ide ibe neminyaka emi-5 okanye emi-6 ubudala. Ngeminyaka eyi-5, ngaphezulu kweepesenti ezingama-90 zabantwana bayakwazi ukulawula umchamo wabo emini. Ugqirha wakho akanakukufumanisa ukungahambelani kokuchama ebusuku de umntwana abe neminyaka esi-7 ubudala.

Ukumanzisa ebhedini kuchaphazela iipesenti ezingama-30 zabantwana abaneminyaka emi-4 ubudala. Le pesenti iyancipha unyaka nonyaka njengoko abantwana bekhula. Malunga neepesenti ezili-10 zabantwana abaneminyaka esi-7 ubudala, iipesenti ezi-3 zabantwana abaneminyaka eli-12 ubudala, kunye nepesenti enye yabaneminyaka eli-18 ubudala abasaya kumanzisa ibhedi ebusuku.

Iimpawu ze-OAB

Olona phawu luqhelekileyo lwe-OAB ebantwaneni ngumnqweno wokuya kwindlu yangasese rhoqo kunesiqhelo. Umkhwa oqhelekileyo wokuhlambela umalunga neehambo ezine ukuya kwezintlanu ngosuku. Nge-OAB, i-bladder inokuthi ikhontrakthi kwaye ibangele imvakalelo yokufuna ukuchama, nokuba ayizalanga. Umntwana wakho akanakukuxelela ngokuthe ngqo ukuba banomdla. Jonga iimpawu ezinje ngokujija esihlalweni sabo, ukudanisa ujikeleze, okanye ukutsiba ukusuka kolunye unyawo ukuya kolunye.

Ezinye iimpawu zingabandakanya:

• ukufumana umnqweno wokuchama, kodwa ungagqithisi nawuphi na umchamo
• ukusuleleka rhoqo kumchamo
• iingozi emini

Ngaphantsi kakhulu, umntwana wakho unokufumana ukuvuza, ngakumbi xa esebenzayo okanye xa ethimla.

Ukumanzisa ibhedi

Ukumanzisa ebhedini kwenzeka xa umntwana engakwazi ukulawula umchamo wakhe ebusuku. Luhlobo lokungasebenzi kakuhle olunokuhamba nesinyi esingaphezulu kokusebenza kodwa kuhlala kungahambelani nalo. Ukumanzisa ebusuku kuthathwa njengesiqhelo xa kusenzeka kubantwana ukuya kwiminyaka eyi-5. Kubantwana abadala, le meko ibizwa ngokungasebenzi kakuhle xa ihamba kunye nokuqhinwa kunye neengozi zelindle.

Yintoni ebangela i-OAB ebantwaneni?

Zininzi izinto ezinokubangela i-OAB. Ezinye izizathu ziyahluka ngokuxhomekeke kubudala bomntwana. Umzekelo, kubantwana abaneminyaka emi-4 ukuya kwemi-5 ubudala, unobangela unokuba:

• utshintshe indlela yesiqhelo, njengokufudukela kwisixeko esitsha okanye ukuba nomzalwana okanye udade omtsha endlwini
• ukulibala ukusebenzisa indlu yangasese kuba bayazibandakanya neminye imisebenzi
• isigulo

Ezinye izizathu kubantwana bayo yonke iminyaka zinokubandakanya:

• ixhala
• ukusela iziselo ezinecafine okanye iziselo ezihlwahlwazayo
• ukukhathazeka ngokweemvakalelo
• uneengxaki zokuqhinwa
• ukusuleleka rhoqo kumchamo
• Umonakalo wemithambo-luvo okanye ukungasebenzi kakuhle okubangela ukuba umntwana abenobunzima bokuqonda isinyi esipheleleyo
• ukuphepha ukukhupha ngokupheleleyo isinyi xa usendlini yangasese
• isizinzi sokuphefumla xa ulele

Kwabanye abantwana, kunokuba kukulibaziseka ekukhuleni kwaye ekugqibeleni kuya kuhamba kunye nobudala. Kodwa ngenxa yokuba ukucinywa kwesinyi kulawulwa yimithambo-luvo, kunokwenzeka ukuba i-OAB inokubangelwa kukuphazamiseka kwemithambo-luvo.

Umntwana unokufunda nokubamba ngabom umchamo wakhe, onokuthi uchaphazele amandla abo okukhupha ngokupheleleyo isinyi. Iziphumo zexesha elide zalo mkhwa zinokuba kukosuleleka kumchamo, ukwanda kokuhamba komchamo kunye nokonakala kwezintso. Jonga ugqirha ukuba ukhathazekile ukuba i-OAB yomntwana wakho ayikhange ihambe yodwa.

Nini ukubona ugqirha

Yenza i-aphoyintimenti kunye nodokotela wezilwanyana ukuba uhlolisise ukuba umntwana wakho unayo nayiphi na impawu ye-OAB. Oku kuyinyani ngakumbi ukuba umntwana wakho uneminyaka esixhenxe ubudala okanye ngaphezulu. Uninzi lwabantwana kule minyaka baya kuba nokulawula isinyi.

Xa ubona ugqirha, baya kufuna ukunika umntwana wakho uvavanyo lomzimba kwaye beve imbali yeempawu. Ugqirha wakho unokufuna ukukhangela ukuqunjelwa kwaye uthathe isampulu yomchamo ukuhlalutya usulelo okanye ezinye izinto ezingaqhelekanga.

Umntwana wakho unokufuna kwakhona ukuthatha inxaxheba kuvavanyo lokuvala. Olu vavanyo lunokubandakanya ukulinganisa ivolumu yomchamo nayo nayiphi na into eseleyo kwisinyi emva kokuvala, okanye ukulinganisa inqanaba lokuhamba. Kwezinye iimeko, ugqirha wakho unokufuna ukwenza i-ultrasound ukufumanisa ukuba imiba yesakhiwo se-bladder ingangunobangela.

Ukunyanga i-OAB ebantwaneni

I-OAB ihlala ihamba njengoko umntwana esiba mdala. Njengomntwana okhulayo:

• Banokubamba ngakumbi kwisinyi sabo.
• Iialamu zomzimba wazo zendalo ziqala ukusebenza.
• I-OAB yabo ihlala phantsi.
• Impendulo yomzimba wabo iyaphucuka.
• Ukuveliswa komzimba wabo kwehomoni ye-antidiuretic, ikhemikhali ecothisa imveliso yokuchama, iyazinza.

Ukuqeqeshwa kwakhona kwesinyi

Ugqirha wakho wezilwanyana uya kuphakamisa izicwangciso ezingekho phantsi konyango ezifana nokuqeqeshwa kwesibindi kuqala. Ukuqeqeshwa kwakhona kwesinyi kuthetha ukunamathela kwishedyuli yokuchama kunye nokuzama ukuchama nokuba awunawo umnqweno wokuya. Umntwana wakho uya kufunda ukuhlawula kancinci ingqalelo kwiimfuno zomzimba wakhe wokuchama. Oku kuya kukhokelela ekuphelisweni ngokupheleleyo kwesinyi sabo kwaye ekugqibeleni bahambe ixesha elide ngaphambi kokufuna ukuchama kwakhona.

Ishedyuli yokuchama ishedyuli kukuya kwigumbi lokuhlambela rhoqo emva kweeyure ezimbini. Le ndlela isebenza kakuhle kubantwana abanomkhwa wokubalekela kwigumbi lokuhlambela rhoqo, kodwa bengasoloko bechama kwaye bengenazo iingozi.

Olunye ukhetho lubizwa ngokuba kukuphinda kabini ukuvala, okubandakanya ukuzama ukuphinda uchame emva kwexesha lokuqala ukuqinisekisa ukuba isinyi sikhutshiwe ngokupheleleyo.

Abanye abantwana bayaphendula kunyango olubizwa ngokuba luqeqesho lwe-biofeedback. Lukhokelwa ngugqirha, olu qeqesho lunceda umntwana ukuba afunde indlela yokujonga izihlunu zesinyi kwaye aziphumze xa echama.

Amayeza

Ugqirha wabantwana uya kuthi acebise amayeza ukuba iindlela ezingezizo ezonyango ziyehluleka ukunceda umntwana wakho. Ukuba umntwana wakho uqunjelwe, ugqirha unokumisela isisu. Ukuba umntwana wakho unesifo, i-antibiotics inokukunceda.

Amayeza abantwana ayanceda ukukhulula isinyi, nto leyo enciphisa umnqweno wokuhamba rhoqo. Umzekelo yi-oxybutynin, eneziphumo ebezingalindelekanga ezibandakanya umlomo owomileyo kunye nokuqunjelwa. Kubalulekile ukuxoxa ngeziphumo ebezingalindelekanga ezinokubakho zala mayeza nogqirha. Kuyenzeka ukuba i-OAB ibuye emva kokuba umntwana wakho eyekile ukuthatha amayeza.

Unyango lwasekhaya

Unyango onokulwenza ekhaya lubandakanya:

• Cela umntwana wakho ukuba aphephe iziselo kunye nokutya okunecaffeine. I-Caffeine inokukhuthaza isinyi.
• Yenza inkqubo yomvuzo ukuze abantwana babe nenkuthazo. Kubalulekile ukuba ungohlwayi umntwana ngenxa yokumanzisa iingozi, kodwa endaweni yoko uvuze isimilo esihle.
• Ncedisa ukutya kunye nokusela okufanelekileyo kwesinyi. Oku kutya kubandakanya imbewu yethanga, ijusi yecranberry, isikwashi esingxubileyo namanzi.

Khathalela ukujonga ukuba kutheni umntwana wakho eneengozi emini. Iinkqubo zomvuzo zinokunceda ekubuyiseleni umntwana wakho kwishedyuli. Inokukunceda ukudala ubudlelwane obuhle kunxibelelwano ukuze umntwana wakho azive ekhululekile ukukwazisa xa kufuneka ahambe. Funda ngokufunda malunga nokutya okungu-11 ukunqanda ukuba une-OAB.