Indlela yokuLawula ukuThengwa kwabantwana abaselula kunye nabantwana abakhulileyo besikolo
Ukuqhaqheleka kuqheleke kakhulu kubantwana phakathi kobuntwana ekukhuleni. Enyanisweni, ukuya kwimizuzu emithathu yokutyelela kwinqanaba labantwana kuba ngenxa yokuqhawuka.
Zininzi izizathu ezinokubakho zokuqhawulwa kwabantwana kunye nabantwana besikolo esikolweni ezivela kwiinkinga ezilula ukulungisa izifo ezinjengokungcoliswa kwamanzi okanye ukutya ukutya kwiimeko zonyango phantsi kweso sifo sesifo sikaHirschsprung.
Izizathu kunye nokunyanga kokuqhawulwa kweentsana kunento ehlukileyo kunabantwana kunye nabantwana abadala, ngoko ukuba umntwana wakho uneminyaka engama-12 ubudala okanye ngaphantsi, jonga iibangela kunye nokunyanga kokubambisa kwiintsana .
Izibonakaliso zokuThengiswa kwabantwana
Into esiyicinga ukuba ukuqhawulwa kwabantu abadala kunokungafani nakubantwana. Kubantu abadala, uphawu oluqhelekileyo oluhambelana nokuQhelela luhamba ngokunyuka. Ngoxa le nto ingenzeka kubantwana ngokunjalo, kubaluleke kakhulu. Enyanisweni izitofu ezingapheliyo emntwaneni-ukuba zizinto eziqhelekileyo ezihambelanayo-akuthethi ukuba uthetha uqobo. Izimpawu ezinokwenzeka zokubanjwa komntwana zingabandakanya:
- Izitulo ezinkulu (uhlobo olunokuthi lufake indlu yangasese.)
- Izigubhu ezinzima - Ukubunjwa kwezinto ezihamba phambili kubaluleke ngaphezu kwexesha.
- Amancinci amancinci afana neepellet ("umvundla".
- Ubunzima bokuhamba.
- Ukuhlenga okanye ezinye iimpawu zobunzima obunentshukumo.
- Umoyiko wokuya kwigumbi lokuhlambela - Ukuba umntwana wakho uphelile kwixesha lokuqeqeshwa kwamathambo, akanakukuxelela ngokuvumelana kwakhe. Oko kuthetha, unokwazi ukuba uchitha ixesha elide kwixesha lokuhlambela, uphuma kwindawo yokuhlambela, ekhuphekileyo okanye enentlungu, okanye wenqabela ukuya kwindawo yokuhlambela.
- Iintlungu zesisu - Umntwana wakho unokuthi ibanga lakhe libuhlungu, kwaye unokwazi ukuba kukho umzekelo "wesisu sesisu."
- Iziphambano ezingapheliyo - Kwakhona, izitopu ezingapheliyo zingabonakali ukutyunjwa ngaphandle kokuba ukungahambisani kulukhuni, umntwana wakho ubonakala engahlaziyi, okanye iintlobo zokudlula.
Ngokuqhelekileyo, ukuzithiba kubantwana kudla ngokuchazwa ngokuba "nobunzima bokungachasani ubuncinane iiveki ezimbini, ezibangela ukukhathazeka okukhulu kumguli."
Gcina ukhumbule ukuba abavame ukungazi ukuba abantwana babo besikolo bahamba njani ngokunyakaza, okuvame ukulibazisa ukuxilongwa kokuqhawuka.
Iimbangela Zokuqothulwa kwabantwana
Ukukhangela izizathu zokubambisa kudla ngokuba yinyathelo lokuqala ekusetyenzisweni ngokuchanekileyo kunye nokukhetha unyango olungcono okanye utshintsho lokutya.
Izizathu ezinokwenzeka ziquka:
- Ukuditywa kwamanzi
- Ukutya kunye nefiber encinane kakhulu
- Ukutya okuqukethe ukutya okuninzi okunokubambisa okunjengobisi, ushizi kunye neebhanana
- Amanye amayeza, ingakumbi i-antacids kunye neentlungu zonyango
- Amava anzima okwakubangela ukuba umntwana agcine isitulo, okanye uzame ukukhusela indawo yokuphumla yoluntu
- Ukunciphisa umsebenzi owenziwe ngokomzimba
- Isithintelo somzimba
- Iingxaki ze-Endocrine ezifana ne-hypothyroidism
- Imiqathango efana ne-Down's syndrome kunye ne-cerebral palsy
Ukuchonga ukutyunjwa kwabantwana
Ukuba unomdla wokuba umntwana wakho angagqitywa, kubalulekile ukuthetha nodokotela wezingane. Umlando oqapheleyo unokuthi ubonakalise iipatheni ezihamba kunye nokuqhawulwa. Ukuba imbangela icacile kwimbali kunye nempilo, ukuvavanya okuqhubekayo akusoloko kuyimfuneko.
Ngamanye amaxesha uphando olongezelelweyo, olunjengomsebenzi wegazi, izifundo zokucinga, okanye i-endoscopy zifuneka ukuba zibone isizathu.
Unyango lwe-Constipation kubantwana
Ionyango ezicetyiswayo ukuba zithembeke kubantwana zixhomekeke kwimbali echanekileyo kunye nokuhlolwa komzimba.
Ngamanye amaxesha yonke into efunekayo yandisa ukondla kokutya kwakhe okanye utshintsho oluncinane ekudleni kwakhe kokutya. Oko kwathiwa, ukuba umntwana akanakukhathazeka, ungadinga ukusebenzisa i-stool softener okanye i-laxative "ukufumana izinto" ngelixa utshintsha utshintsho lwakhe.
Ukuba ukutya kwakhe kuncinci kwi-fiber, ukongeza i-fiber yinto efanelekileyo, kodwa ngokungafani nabantu abadala, kubonakala sengathi ayinayo impembelelo ekunciphiseni ukuqothulwa kwabantwana. Kubalulekile ukwandisa i-fiber yokutya ngokukhawuleza ukuba ukhetha ukwenza njalo, njengoko ukwanda ngokukhawuleza kunokukhokelela ekubethweni kweentlungu kunye nesisu esiswini.
Ukunciphisa ukutya okunokubambisa okunjengokutya okucwangcisiweyo, ukutya okushukela, kunye nemveliso yobisi ezifana noshizi kunokunceda, kwaye unokukhuthaza umntwana wakho ukuba enze ukhetho oluphilileyo. Ukuba umntwana wakho engasebenzi, ixesha lokudlala elisebenzayo kwixesha leskrini licinga kakuhle kwiindlela ezininzi.
I-Laxatives ingadinga ukuba isetyenziswe ngokukhawuleza. I-Polyethylene glycol (iM Miralax) idla ngokunyamezela abantwana kwaye ihlala ikhuthazwa ngabadokotela bezilwanyana. Ngokungafani nama-laxatives, abancinci abancinci abaqhelekanga ukuba banomlutha kwaye banganikwa kaninzi xa kunyanzelekile. Iphutha eliqhelekileyo kukuba abazali bayeke ukunciphisa izitoli ngokukhawuleza xa umntwana eqala ukunyuka kwesibindi sokunyakaza, kuphela ukuba umntwana ahlakulele kwakhona. Ngamanye amaxesha, ukuba umntwana uxhaswa, i-enema okanye i-digital evacuation ingafuneka. Qinisekisa ukulawula ngaphandle naziphi na izizathu ezibalulekileyo zokubanjwa ngaphambi kokuba uthathe le ndlela (ngamanye amazwi, gweba oku ukuba umntwana wakho unesisu esiswini.)
Kukho ezinye iindlela zokukhetha, nangona kukulungele ukuthetha nomntwana wakho ngaphambi kokuba uzame. I-gastroenterologist yezilwanyana inokunika uncedo olungakumbi xa umntwana wakho enesiqhwala esingapheliyo kunzima ukuyiphatha.
Iingxaki zoLuntu lokuBambisa
Abanye abantwana abanokuqhaqhaqhaqhaqhaqhaqhaqa ukukhutshwa, okudlulileyo. Oku kunokukhokelela kwiingozi zokukhawuleza, imeko ebizwa nge-encopresia.
Izifungo ze-Anal ziyakwenzeka kwakhona ngenxa yokuzibamba kwaye ziyakwazi ukonakalisa iimpawu ukuba abantwana baya kugcina ukusebenzisa indlu yokuhlambela.
Ngaphantsi kwendlela yokuQinjwa kwabantwana
Ubuninzi bexesha, ukugqithiswa kwabantwana kungaphathwa ngokutshintsha ekudleni kunye nokwanda kwenzelwe umzimba. Oko kwathiwa, i-stool softeners kwaye ngamanye amaxesha i-laxative iyakufuneka ukuba ufumane intsalane yomntwana ehamba. Kukho ubuncipheko obunxulumene nokusebenzisa abancinci abancinci kubantwana, kwaye ukuba oko kuyadingeka ukuba kuqhutywe de kube yinto umntwana ehlala ehamba rhoqo.
> Imithombo
- > Rajindrajith, S., Devanarayana, N., uCrispus Pereara, B. kunye noMnu Benninga. Ukuqhaqha kwabantwana njengengxaki yezempilo yomphakathi. I-World Journal yeGastroenterology . 2016. 22 (30): 6864-75.
- > Tabbers, M., DiLorenzo, C., Berger, M. et al. UkuVavanywa kunye nokuPhathwa koMsebenzi wokuQiniseka kwabasebenzi kwiintsana nabantwana: Iziphakamiso ezisekelwe kwi-ESP. Umbhalo we-Gastroenterology kunye neZondlo . 2014. 58 (2): 258-74.