Ukugqithwa Kuqhelekileyo Kodwa Kuyakhathazeka Kwiintsana
Ukugqithwa kuyinkathazo eqhelekileyo kwiintsana nabantwana kunye nesizathu sokuba phantse iipesenti ezintathu zokutyelela kwinqanaba labantwana. Yintoni oyifunayo ukuba uyazi kwaye zithini unyango?
Inkcazo
Ukugqithiswa ngokuqhelekileyo kuchazwa ngokuba neentsholongwane ezingapheliyo ezinzima kwaye zibuhlungu. Oku kudlalwa ngabantwana abadala kunye nabantu abadala, kodwa inkcazelo iyahluke kakhulu kwiintsana.
Iintsana ezixinayo okanye ezibuhlungu xa zinezintshukumo zentlungu zingabonakali ukuba i-stool yabo ithambile, nangona ihamba nje intshukumo nganye iintsuku ezimbini okanye ezintathu. Kwakhona kubalulekile ukukhumbula ukuba ezininzi iintsana ezithandwayo kuphela zihamba ngokunyakaza kwimizimba nganye emva kweveki okanye ezimbini.
Nangona kukho ezinye izizathu zonyango zokuqothulwa, njengesifo sikaHirschsprung, i-cystic fibrosis, kunye ne-hypothyroidism, abaninzi abantwana abaye baqhaqhaqhaqheliswa kwimpilo eqhelekileyo. Izibonakaliso ezinokuthi zibonise imeko enzulu kakhulu ikhona kubandakanya ukuhlanza, ukulahleka kwesisindo, ukufumana isisindo esibi, ukukhulelwa komzimba, ukuvalelwa kwesisu, ukufumana isondlo esingenasiphelo, okanye ukunyanzeliswa kakhulu ukususela ekuzalweni.
Izizathu
Enye yezinto eziphazamisayo kubazali uzama ukuqonda izizathu zokuqhaqha komntwana. Nangona abanye abazali baqonda indima eninzi yobisi lweenkomo, ukutya okuncinci kwi- fiber , kunye nokungaphuzi okwaneleyo kunokuba negalelo ekubambeni, banokuba nabanye abantwana banesidlo esifanayo abangabonakaliyo.
Ukongezelela kokutya komntwana wakho, enye into eyinqobo ebangela ukuba kuqhenywe kukunyuka kokuhamba. Oku kwenzeka rhoqo emva kokuba umntwana enentlungu enkulu, enzima kwaye ebuhlungu. Ngenxa yokuba unokudibanisa kunye nentlungu emva kweli liva, uya kuzama ukumbamba.
Oku kudala umjikelezo onobungozi apho ukunyuka kwesilwanyana kunobunzima, ngoko uyazibamba, ezibangela ukuba izitulo zakhe zibe zikhudlwana kwaye zikhuni, ezibangela intlungu xa iphela idlula.
Abazali abaninzi baphosisa iimpembelelo zokuba abantwana bahlakulele ukuhlala kwisigxina njengokuba baxhamla ukuba babe neentshukumo zokuhamba, kodwa ngokuqhelekileyo, ngokwenene bazinzima izihlunu zabo okanye baxhamle njengemzamo yokubamba i-stool yabo kwaye bagweme ukunyakaza kweentlungu.
Esinye isizathu esivakalayo sokubanjwa kunye nezitulo ezingapheliyo kuba namava amaninzi ngokuqeqeshwa kwamanzi .
Ukugqithiswa kudla ngokufumaneka kubantwana abaneemfuno ezizodwa , ezifana ne-spina bifida, i-Down syndrome, kunye ne-cerebral palsy, kwaye ingaba nemiphumo emibi yamachiza amaninzi.
Unyango
Iintsana ezincinci kunye neentsana kunye nokuqhawulwa kufuneka zihlolwe ngokunyanisekileyo ngonyango lwabo. Ukutya okubi kungakhokelela ekudambiseni amanzi kunye nokuqhaqhazela, ngoko kuhlolisiswa kwemikhwa yokutya kwezingane kwaye uqinisekise ukuba uzuza isisindo ngokuqhelekileyo kubalulekile.
Kwakhona, khumbula ukuba iintsana ezithandwayo kuphela ezincinci zizaliswa. Ukunyuka kwezilwanyana ezingapheliyo akuthethi ukuzithiba xa izibonda zomntwana zakho zipholile xa ekugqibeleni udlula enye.
Ukuba umntwana wakho omdala unyanzelekile, unyango lokuqala luquka ukunikezela ngamanzi angaphezulu okanye ukunyanzeliswa, i-100-pesenti yesiphumo sesiphumo kanye okanye kabini ngosuku.
Unyango oluqhelekileyo olusetyenziswa ngabazali longeza isiraphu yeKaro okanye enye i-syrups ebomvu okanye emnyama kwiibhotile zabo zentsana. Nangona oku kudla ukuphazamiseka ngenxa yengozi ye-botulism, i-American Academy ye-Pediatrics ibika ukuba kuphephile ukwenza. Ukuba kunika ifomula, ukutshintsha kwindlela yokutya i- soy ingancinceda ngamanye amaxesha, xa nje umntwana wakho engenawo utywala.
Amachiza asetyenziselwa ukuphatha iintsana kunye nabantwana abancinciweyo ngokuqhelekileyo baxhomekeke kwiClay, i-maltsupex, i-lactulose, kunye nokusetyenziswa kwesinye isikhathi se-glycerin suppository.
Unyango lwezoTywala
Injongo ephambili ekuphatheni ukutyikitya kukuba umntwana wakho abe neentshukumo ezincinci iintsuku zonke.
Enye yeendlela eziphambili zokuthintela nokunyanga ukugonywa kukuguqula ukutya komntwana wakho. Oku kubandakanya ukunciphisa ukutya okuqhayisayo, kubandakanywa ubisi lweenkomo, ubhanana, i-yogurt, ushizi, iinqwelo eziphekiweyo kunye nezinye ukutya eziphantsi kwefiber. Kubantwana abancinci kunye nabantwana abancinci abasela ubisi oluninzi lweenkomo, ubisi oluncinci obuncinci kunye nobisi lwe-soy zizinto ezilungileyo, njengoko zivame ukugqithisa kuncinci ubisi lweenkomo.
Olunye utshintsho oluthile lokutya lwandisa inani le-fiber ekudleni komntwana wakho. Iingcebiso ze-fiber zakutshanje zithi abantwana kufuneka bafumane malunga ne-14g ye-fiber kuwo onke ama-calorie ayi-1.
Kungakunceda ukufunda ukufunda iileyile zokutya ukukhetha ukutya okunamafutha aphantsi aphezulu kwi-fiber . Iintyatyambo kunye nemifuno , ngokukodwa xa ziqhekeza kwaye zingaphenduli, zikhethwa kakuhle. Imifuno ephezulu kakhulu kwiifayibhaka ibandakanya ubhontshisi ezinjengeenso, i-navy, i-pinto kunye neembotyi ze-lima, amazambane, i-peas, imifuno ye-turnip kunye netamatato eluhlaza.
Ezinye ukutya ezilungileyo kubantwana abanomzimba zibandakanya iisobho zemifuno (ezininzi zefiber kunye ne-added fluid) kunye ne-popcorn. I-bran eyongezelelweyo ingaba luncedo, kubandakanywa okusanhlamvu kwe-bran, i-muffins ye-bran, i-ngqolowa eluhlaza, i-grared crackers, kunye nesonka sangqolowa esipheleleyo .
Kwakhona kubalulekile ukwandisa umlinganiselo wamanzi ophuza umntwana wakho. Kufuneka abe ncinane ubuncinane ezimbini ukuya kweyesithathu zeglasi zamanzi kunye nejusi yesityalo nganye ngosuku. I-Apple, pear, kunye ne-prune juice, okanye ezinye iindiza eziphezulu kwi-sorbitol, zikhethiweyo ezilungileyo, nje kuphela xa zichithwe kunye ne-100 pesenti yeziqhamo zeziqhamo, kungekhona isiqhamo siselo.
Izigulane zokuQala
Utshintsho lwezondlo kuthatha ixesha lokusebenza, kwaye de kube yinto eyenzayo, umntwana wakho uya kufuneka abe kwi-softener softener. La mayeza aqhelekileyo asetyenziswa ixesha elide njengonyango lokulondolozwa kwaye zibhekwa njengendlela ekhuselekileyo, esebenzayo kunye nokungenzi umkhuba okanye umlutha. Kodwa ke kufuneka ugweme ukusetyenziswa okungapheliyo kwezilwanyana ezinomdla, ezifana neBisacodyl, ExLax okanye ioli ye-castor. Uhlobo lwe-osmotic lwe-laxative, olusebenza ngokukhenkceza okongeziweyo kwikholoni ukuthobisa i-stool, ngokuqhelekileyo kukhuselekile ukusetyenziswa kwexesha elide.
Izigulane zokuqhaqha ngokuqhelekileyo ezisetyenziswa ngabantwana abancinane ziquka:
- I-Polyethylene glycol (Miralax): I-Miralax iyinkohlakalo engenasiphelo engenasiphelo esingaxutywa ngamanzi kwaye ngoku ikhona kwi-counter ngaphandle komyalelo.
- Ubisi lwe-magnesia: Ubisi bemagnesia luqukethe i-magnesium hydroxide, i-laxative ye-osmotic enomdla ococekileyo ongenakunyamezelwa ngabo bonke abantwana. Kungaba luncedo ukuxuba ne-1-2 ithisipuni zeTang okanye i-Nestle Quick okanye udibanise kwi-milkshake.
- I-Oil Mineral: I-oyile yamaminerali i-colon lubricant ukuze udibanise nejusi le-orange. Kubalulekile ukuba uqaphele ukuba i-oyile yamaminerali ingabangela ukuvuza kwe-stool kunye nokubola kwengubo zangaphantsi, ngoko awuyikotyiki xa ubona oku.
- I-Docusate: ifumaneka njenge-Colace kunye ne-Surfak, i-laxative yokucoca. Kukwafumaneka kwakhona nge-laxative ekhuthazayo kwi-Peri-Colace yelidibanisa.
- I-Malt Soup Extract (Maltsupex): I-Maltsupex inomsindo ongathandekiyo, kodwa ixutyaniswa kalula nefomula yabantwana abaselula.
- I-Senokot: I-Senolot yilexative ekhuthazayo, ifumaneka njengoSenokot okanye uSenokot S edibanisa i-laxative ne-softener softener.
- I-Bisacodyl: I-Biscadyl yindlela yokusebenzisa i-laxative ekhuthazayo ekhoyo ngokufumaneka njenge-Correctol ne-Dulcolax.
Amanye amayeza atholakalayo ngomyalelo wenziwa nguLactulose, i-laxative ye-osmotic
Ukongeza kwi-softener softer, kunokukunceda ukwandisa i-fiber ngokuxuba iMetamucil okanye i-Citrucel nge-ounces 8 zamanzi okanye ijusi, okanye enye i-laxative okanye i-fiber supplement. Uninzi lwezongezelelo zefiber zifumaneka njengamacwecwe amancinci kubantwana, kwaye kukho i-fiber gummy supplement.
Naluphi na olu lwalu unyango, ncokola nodokotela wezilwanyana kuqala. Uphando olutshanje lubonisa ukuba i-polyethylene glycol (iM Miralax) ingaba yilungiselelo elikhuselekileyo lweintsana nabantwana. Oko kwathiwa, ngamnye umntwana uhlukile kwaye unabantwana bakho bangenza isincomo esihle kuncike kokwazi kwakhe kwintsana yakho kunye nembali yakhe yonyango.
Kufuneka Kuthathwe Njani?
Injongo ephambili yokuphatha ukuzitywa komntwana wakho kukumenza abe ne-soft stool ngosuku ngalunye. Ukuze ufezekise oku, umntwana wakho unokufuna ukuba athathe iyeza lakhe ixesha elide, kaninzi ukuya kwiinyanga ezi-4 ukuya kwezi-6. Enye yezona mpazamo ezinkulu abazali abazenzayo ekuphatheni ukunqunyulwa kwabantwana babo ukuyeka amayeza abo xa beqala ukuba nezithambile. Ukuba unqande kakhulu, umntwana wakho uya kuphinda aphinde aphinde aphinde aphinde agqitywe.
Xa umntwana wakho ehlala esityebileyo rhoqo, ungathetha kunye nodokotela wezilwanyana malunga nokunciphisa ama-dosage ye-laxative oyisebenzisayo. Oku kuya kwenziwa ngokuthe ngcembe, ngokuphindaphindiweyo ngokunciphisa umthamo ngama-25 ekhulwini rhoqo kwiinyanga ezi-1 ukuya kwezi-2. Ukuyeka i-laxatives ngokukhawuleza kunokubangela ukuba umntwana wakho aphinde agqitywe. Kwakhona kubalulekile ukuqhubeka nokutya komntwana wakho okungaqiniseki ngexesha kunye nangemva kokuba izitampu zokunciphisa zimiswe.
Qinisekisa ukuyixoxisana nodokotela wakho wezilwanyana ngaphambi kokuba uqale umntwana wakho kwiyeza elitsha okanye ukuba uguqula umthamo weyeza elithe wachazwa.
Ukunyangwa kwamayeza
Ngenxa yokuba kuninzi ubunzima obunzima, obunzima obusondelene 'obusisigxina' kumqolo wengane yakho, umntwana wakho unokufuna "ukucoceka" okanye ukungabikho kwempilo ngaphambi kokuba unyango lwezonyango lube lusebenza. Oku kuya kwenziwa ngokusebenzisa i-enema okanye i-suppository phantsi kolawulo lwezingane. Ukungaphumeleli kungenziwa ngokusebenzisa i-dosage ephezulu yeoli ye-mineral okanye i-polyethylene glycol.
Ngokuqhelekileyo, abantwana abangaphantsi kweenyanga ezili-18 banokunika i-glycerine suppository, kodwa kuphela phantsi kolawulo lwesigqirha sezingane. Abantwana phakathi kweenyanga ezili-18 kunye neminyaka engama-9 banokunikwa iFeatric Fleets enema okanye isiqingatha se-Dulcolax suppository. Abantwana abakhulileyo banga kunikwa i-enema ye-Fleets okanye i-Dulcolax ye-suppository.
Kodwa ke kufuneka ukhuphe ukusetyenziswa rhoqo kwe-enema okanye i-suppository. Ngamanye amaxesha kuyimfuneko ukuba 'uncedo lokusindisa' xa umntwana wakho engenayo intshukumo ezinyangeni eziyi-3-4, kodwa ukuba ufuna ukuwasebenzisa rhoqo, mhlawumbi kufuneka ukwandise ama-dosages ye-stool softeners se benzisa.
Ukuguqulwa kokuziphatha
Emva kokuba izitovu zomntwana sele zipholile kwaye zihlala ziqhelekileyo, kubalulekile ukuguqula indlela yakhe yokuziphatha nokumkhuthaza ukuba ahambe rhoqo. Oku kudla ngokuquka ukuhlala kwindawo yangasese malunga nemizuzu emihlanu emva kokutya kanye okanye kabini ngosuku. Unako ukugcina idayari okanye isatidi esicatshulwayo xa ezama ukunyakaza kunye / okanye athathe amayeza akhe, aze anikele umvuzo wokuthobela rhoqo. Musa ukumphoqelela ukuba ahlale ade abe neentshukumo zokuhamba.
Iingxaki
Ukongeza kwintlungu, ukuqhenyiswa kunokukhokelela ekukhunjeni okanye kwiinyembezi esikhumbeni ezijikeleze i-rectum, ukuphuma kwegazi, i-hemorrhoids, i-proctal prolapse, kunye nokusebenza. I-Encopresis yenye enye inkxalabo yokuqhaqhazeka okungapheliyo kwaye ingakhokelela ekuvukeni kwe-stool evulekileyo kwimpembelelo enkulu yezikhulu.
Nangona ukuqhenyiswa ngumzimba ongapheliyo osoloko unzima ukuwuphatha, ukuhamba ngokunyamezelayo akuyinto into yokuba umntwana wakho "afunde ukuhlala naye." Ekuhambeni kwexesha, kunye nokungenelela okufanelekileyo kunye nezokwelapha, umntwana wakho kufuneka akwazi ukuhamba ngokuthe tye.
Ukuba ugqirha wakho wezilwanyana akakwazi ukunceda ukunyangwa kwengane yakho, ngoko unokufuna uncedo olungakumbi kwi-gastroenterologist. Ukuthunyelwa kwingcali yinto efanelekileyo ukuba umntwana wakho unempawu zokuxwayisa zesimo esibi kakhulu okanye ukuba akaphuculanga kunye neendlela ezikhoyo.
Ngaphantsi kwiNyango yokuThengiswa kweNtana
Ukugqithiselwa kwiintsana kuyinto eqhelekileyo kwaye idla ngokudityaniswa nokutya, kunye nokubanjwa kwesigxina xa ukubethelwa kubangela ukunganeliseki. Uphulo luvame ukuba ludibanise uphando kwaye lunokuthatha inyanga ezininzi. Oku kuthethi, kukho ezininzi iindlela ezikhoyo. Qinisekisa ukuba uthetha kwinqanaba lakho lezilwanyana uze ufumane ingcebiso kunye neengcebiso kuzo zonke iinguqu zokutya ozenzayo okanye unyango olisebenzisayo.
> Imithombo:
> Gordon, M., MacDonald, J., Parker, C., Akobeng, A., kunye noA. Thomas. I-Osmotic ne-stimulant Laxatives yoLawulo lokuQinisa kwabantwana. I-Cochrane Database yeeNkqubo eziPhezulu . 2016. (8): CD009118.
> Kliegman, uRobert M., uBonita Stanton, uSt Geme III uJoseph W., uNine Felice. Schor, uRichard E. Behrman, kunye noWaldo E. Nelson. Ncwadana yeeNzululwazi. 20 Edition. Philadelphia, PA: Elsevier, 2015. Print.
> Tabbers, M., DiLorenzo, C., Berger, M. et al. UkuVavanywa kunye nokuPhathwa koMsebenzi wokuQinisekisa ngokuSebenzayo kwiintsana nabantwana: Iziphakamiso ezisekelwe kwi-ESPGHAN ne-NASPHAN. Umbhalo we-Gastroenterology kunye neZondlo . 2014. 58 (2): 258-74.