Indlela Yokuphatha Ukuqashwa Kwezingane Nezingane Ezikhulile Zesikole
Ukuqothulwa kuvamile kakhulu ezinganeni phakathi kokusana ekukhuleni. Empeleni, kuze kube ngamaphesenti amathathu okuvakashela udokotela wezingane ngenxa yokuqothulwa.
Kunezimbangela eziningi ezingabangela ukuqothulwa kwabantwana nabantwana bebanga lesikole ezivela ezinkingeni ezilula zokulungisa ezifana nokudambisa amanzi noma imikhuba yokudla ezibhekene nezimo zezokwelapha ezinjengezifo zesifo seHirschsprung.
Izimbangela kanye nokwelashwa kokuqothulwa kwezinsana kuhluke kakhulu kunabantwana nabantwana asebekhulile, ngakho-ke uma ingane yakho ineminyaka engu-12 ubudala noma engaphansi, ubuke izimbangela kanye nokwelashwa kokuqotshwa kwabantwana .
Izimpawu Zokuqokwa Kwezingane
Lokho esikubonayo njengokuqothulwa kwabantu abadala kungaba okuhluke kakhulu kulokho kubantwana. Kubantu abadala, uphawu oluvame kakhulu oluhlotshaniswa ne-Constipation luhamba ngokunyakaza kwesibindi. Yize lokhu kungase kwenzeke ezinganeni futhi, kubalulekile kakhulu. Eqinisweni izitshalo ezingapheli ezinganeni-uma zihambisana nokujwayela okuvamile-akusho ukuthi ukuziqhenyuka nhlobo. Izimpawu ezingase zibe khona zokuqothulwa kwengane zingabandakanya:
- Izitembu ezinkulu (uhlobo olukwazi ukuvula indlu yangasese.)
- Izitshalo ezinzima - Ukuthungwa kwamathumba okuhamba ngegazi kubaluleke kakhulu kunomvuthwandaba.
- Izitshalo ezincane ezinjenge-pellet ("unogwaja" wezintambo ze-pellet.)
- Ukunyakaza kokuhamba kwamathumbu.
- Ukuhlunga noma ezinye izibonakaliso zobunzima bokunyakaza kwesisu.
- Ukwesaba ukuya ekamelweni lokugezela - Uma ingane yakho idlule iminyaka yokuqeqeshwa kwamanzi, angeke akutshele ukuvumelana kwakhe nesitokisi. Lokho kusho, ungabona ukuthi uchitha isikhathi eside isikhathi esingaphansi kwendlu yokugezela, uphuma endlini yokugezela ephuthumayo, e-teary noma ebuhlungu, noma enqaba ukuya endlini yokugezela.
- Ubuhlungu besisu - Ingane yakho ingase ifune ukuthi isisu sayo sibuhlungu, futhi ungabona ukuthi kukhona iphethini kuye "izihlungu zesisu."
- Izitshalo ezingavamile - Futhi, izitshalo ezingapheli zingase zingabonakali ukudambiswa ngaphandle kokuthi ukuvumelana kulukhuni, ingane yakho ibonakala ingakhululekile, noma izinkinga zokuzidlula.
Ngokuvamile, ukuqotshwa kwabantwana kuvame ukuchazwa ngokuthi "kunenkinga yokuhlukumeza okungenani amasonto amabili, okubangela ukucindezeleka okukhulu kwesiguli."
Khumbula ukuthi abazali kaningi abakwazi ukuthi izingane zabo zesikole ziningi kangakanani izidumbu, okuvame ukubambezela ukuxilongwa.
Izimbangela Zokuqokwa Kwezingane
Ukufuna izimbangela zokuqothulwa ngokuvamile kuyisinyathelo sokuqala sokwenza ukuhlonza okufanele futhi ukhethe ukwelashwa okungcono kakhulu noma ushintsho lokudla.
Izimbangela ezingenzeka zingabandakanya:
- Ukwehla kwamanzi
- Ukudla nge-fiber encane kakhulu
- Ukudla okuqukethe ukudla okuqeda ukudla okunjengobisi, ushizi, nobhanana
- Ezinye imithi, ikakhulukazi i-antacids kanye nemithi yokuhlunguphaza i-narcotic
- Okuhlangenwe nakho okunzima ngokomzwelo okubangela ukuthi ingane igcine isitulo, noma umzamo wokugwema izindawo zokuphumula zomphakathi
- Ukunciphisa ukusebenza komzimba
- Ukuvinjelwa kwesisu
- Izinkinga ze-endocrine ezifana ne-hypothyroidism
- Izimo ezifana ne-Down's syndrome ne-cerebral palsy
Ukubona Ukuqashwa Kwezingane
Uma ukhathazekile ukuthi ingane yakho ingase iqotshwe, kubalulekile ukukhuluma nodokotela wezingane zakho. Umlando oqaphile ungavame ukuveza amaphethini ahambisana nokuqotshwa. Uma imbangela icacile emlandweni nasemzimbeni, ukuhlolwa okwengeziwe akudingekile.
Ngezinye izikhathi izifundo ezengeziwe, ezifana nokusebenza kwegazi, izifundo zokucabanga, noma i-endoscopy zingadingeka ukuze zibone imbangela.
Ukwelashwa kwe-Constipation kubantwana
Izindlela zokwelashwa eziphakanyisiwe zokuqothulwa ezinganeni zixhomeke emlandweni onembile nokuhlolwa ngokomzimba.
Ngezinye izikhathi konke okudingekayo kuyanda uketshezi kokudla kwakhe noma izinguquko ezincane ekudleni kwakhe kokudla. Lokho kusho ukuthi, uma ingane ingakhathazeki, kungase kudingeke ukuthi usebenzise isitoreji se-stool noma i-laxative ukuze "uthole izinto" ngenkathi wenza izinguquko ekudleni kwakhe.
Uma ukudla kwakhe kuphansi kakhulu ku-fiber, ukufaka i-fiber kungumqondo omuhle, kodwa ngokungafani nabantu abadala, kubonakala sengathi kunomthelela omncane ekunciphiseni ukuqothulwa ezinganeni. Kubalulekile ukwandisa i-fibre yokudla kancane kancane uma ukhetha ukwenza kanjalo, njengoba ukwanda okusheshayo kungaholela ekuhlungeni nasebuhlungu besisu.
Ukunciphisa ukudla okuqhakambisa njengokudla okucutshungulwa kakhulu, ukudla okudla ushukela, kanye nemikhiqizo yobisi njenge-cheese kungase kube usizo, futhi kungakhuthaza ingane yakho ukuba ikhethele impilo enhle. Uma ingane yakho ingasebenzi, isikhathi sokudlala esisebenzayo isikhathi sesikrini ngumqondo omuhle ngezindlela eziningi.
Ama-laxatives angadinga ukuthi asetshenziswe kancane. I-Polyethylene glycol (Miralax) ivame ukubekezelela izingane futhi ivame ukuphakanyiswa odokotela bezingane. Ngokungafani nama-laxatives, abathandeki bezitofu abavame ukulutha futhi banganikezwa njalo uma kudingeka. Iphutha elivamile ukuthi abazali bayeke ukuzulazula ngokushesha lapho umntwana eqala ukunyakaza okuhamba kahle, kuphela ukuba ingane ivuselele ukuqothulwa futhi. Ngezinye izikhathi, uma ingane ixhaswa, i-enema noma ukukhishwa kwedijithali kungadingeka. Qinisekisa ukulawula noma yiziphi izimbangela ezinkulu zokuqunywa ngaphambi kokuba uthathe lo mzila (ngamanye amazwi, gwema lokhu uma ingane yakho izwa ubuhlungu besisu.)
Kunezinye izinketho kanye, nakuba kungcono ukukhuluma nodokotela wezingane ngaphambi kokuzama lokhu. I-gastroenterologist yezingane inganikeza usizo olwengeziwe uma ingane yakho inokuqedwa okungapheli okunzima ukuphatha.
Izinkinga zokuqokwa kwezingane
Ezinye izingane ezinokuqothulwa kanzima zakha ukuvinjelwa, okwedlula ukuthi yisiphi isikhala samanzi esivuzayo. Lokhu kungaholela ezingozini ezishisayo, isimo esibizwa nge-encopresia.
Ama-fissures angama-analysis angase ayenze ngenxa yokuqothulwa futhi kungase kube nzima kakhulu uma izingane zigwema ukusebenzisa indawo yokugezela.
Ngezansi kokuqokwa kwabantwana
Esikhathini esiningi, ukuqothulwa ezinganeni kungaphathwa ngokushintsha kokudla kanye nokwanda komsebenzi womzimba. Lokho kusho ukuthi izithambile zisezingeni eliphansi kanti ngezinye izikhathi i-laxative izodingeka ukuze izingane zihambele. Kukhona ingozi encane ehlobene nokusebenzisa izitshalo zokunciphisa izitshalo ezinganeni, futhi uma lokhu kudingekile kufanele kuqhutshwe kuze kube yilapho ingane ihamba ngokunyakaza okuhambayo njalo.
> Imithombo
- > Rajindrajith, S., Devanarayana, N., uCrispus Pereara, B. noMnu Benninga. Ukuqothulwa kwabantwana njengenkinga yezempilo emphakathini. I-World Journal ye-Gastroenterology . 2016. 22 (30): 6864-75.
- > Amathebhu, M., DiLorenzo, C., Berger, M. et al. Ukuhlola nokuPhathwa kweMisebenzi yokuThuthukiswa kokuSebenzayo kwabantwana nezingane: Izincomo ezisekelwe ku-ESP. I-Journal ye-Gastroenterology ye-Pediatric ne-Nutrition . 2014. 58 (2): 258-74.