I-Encopresis

Uma ingane eneminyaka engaphezu kwengu-4 ubudala ifundiswe indlu yangasese, futhi isadlula indle nezingubo zomhlabathi, ibizwa nge-encopresis. Ingane ingenza noma ingakwenzi lokhu ngenhloso.

Ingane ingaqunjelwa. Lesi sihlalo sinzima, somile, futhi sinamathele kukholoni (okubizwa ngokuthi yi-fecal impaction). Ingane bese idlula kuphela indle emanzi noma ecishe ibe uketshezi egeleza izungeze isitulo esiqinile. Kungaphuma phakathi nosuku noma ebusuku.

Ezinye izimbangela zingafaka:

• Hhayi ukuqeqesha ingane yangasese
• Ukuqala ukuqeqeshwa endlini yangasese lapho ingane isencane kakhulu
• Izinkinga ezingokomzwelo, njengokuphikisana nokuphikisana nokuphikisana noma ukuphazamiseka kokuziphatha

Noma ngabe yini imbangela, ingane ingazizwa inamahloni, inecala, noma ukuzethemba, futhi ingafihla izimpawu ze-encopresis.

Izici ezingakhuphula ubungozi be-encopresis zifaka:

• Ukuqunjelwa okungapheli
• Isimo esiphansi sezomnotho

I-Encopresis ivame kakhulu kubafana kunamantombazane. Kuvame ukuhamba lapho ingane ikhula.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ukungakwazi ukubamba indle ngaphambi kokuya ethoyilethi (ukungangeni emathunjini)
• Ukudlula indle ezindaweni ezingafanele (njengezingubo zengane)
• Ukugcina ukuhamba kwamathumbu kuyimfihlo
• Ukuba nokuqunjelwa kanye nezitulo ezinzima
• Ukudlula indle enkulu kakhulu kwesinye isikhathi ecishe ivimbe indlu yangasese
• Ukuphelelwa isifiso sokudla
• Ukugcinwa komchamo
• Ukwenqaba ukuhlala ethoyilethi
• Ukwenqaba ukuthatha imithi
• Ukuzwa ukuvuvukala noma ubuhlungu esiswini

Umhlinzeki wezokunakekelwa kwempilo angazizwa ukuthi indle ibhajwe engxenyeni yengane (ukungqubuzana kwendle). I-x-ray yesisu sengane ingakhombisa indle ethintekile kukholoni.

Umhlinzeki angenza ukuhlolwa kwesistimu yezinzwa ukukhipha inkinga yomgogodla.

Ezinye izivivinyo zingafaka:

• Ukuhlolwa komchamo
• Isiko lomchamo
• Ukuhlolwa komsebenzi we-thyroid
• Ukuhlolwa kokuhlolwa kweCeliac
• Ukuhlolwa kwe-Serum calcium
• Ukuhlolwa kwe-serum electrolyte

Inhloso yokwelashwa uku:

• Vimbela ukuqunjelwa
• Gcina imikhuba emihle yamathumbu

Kungcono kakhulu ukuthi abazali bameseke, kunokugxeka noma ukudikibala ingane.

Ukwelashwa kungafaka noma yikuphi okulandelayo:

• Ukunikeza ingane laxatives noma i-enemas ukususa isitulo esomile, esiqinile.
• Ukunikeza okuthambisa indle yengane.
• Ukuba nengane idle ukudla okune-fiber eningi (izithelo, imifino, okusanhlamvu okuphelele) futhi iphuze uketshezi oluningi ukugcina indle ithambile futhi ikhululekile.
• Ukuthatha uwoyela wamaminerali onandiwe isikhashana. Lokhu ukwelashwa kwesikhashana nje ngoba uwoyela wamaminerali uphazamisa ukumuncwa kwe-calcium nevithamini D.
• Ukubona i-gastroenterologist yezingane lapho lokhu kwelashwa kunganele. Udokotela angasebenzisa i-biofeedback, noma afundise abazali nengane ukuphatha i-encopresis.
• Ukubona i-psychotherapist ukusiza ingane ukuthi ibhekane nehlazo elihambisanayo, ukuzizwa unecala, noma ukulahlekelwa ukuzethemba.

Nge-encopresis ngaphandle kokuqunjelwa, ingane ingadinga ukuhlolwa kwengqondo ukuze ithole imbangela.

Iningi lezingane lisabela kahle ekwelashweni. I-Encopresis ivame ukubuyela emuva, ngakho-ke ezinye izingane zidinga ukwelashwa okuqhubekayo.

Uma ingalashwa, ingane ingaba nokuzethemba okuphansi nezinkinga ekwenzeni nasekugcineni abangane. Ezinye izinkinga zingafaka:

• Ukuqunjelwa okungapheli
• Ukungakwazi Ukulawula Umchamo

Shayela i-aphoyintimenti nomhlinzeki wakho uma ingane ingaphezu kweminyaka engu-4 ubudala futhi ine-encopresis.

I-Encopresis ingavinjelwa ngu:

• Ukuqeqeshwa kwendlu yangasese ngesikhathi esifanele futhi ngendlela efanele.
• Ukukhuluma nomhlinzeki wakho ngezinto ongazenza ukusiza ingane yakho uma ingane yakho ikhombisa izimpawu zokuqunjelwa, njengezithende ezomile, ezinzima, noma ezivamile.

Inhlabathi; Incontinence - indle; Ukuqunjelwa - encopresis; Ukuvela - i-encopresis

UMarcdante KJ, uKliegman RM. Ukuhlolwa kwesistimu yokugaya ukudla. Ku: UMarcdante KJ, uKliegman RM, ama-eds.UNelson Essentials Pediatrics. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 126.

UNoe J. Ukuqunjelwa. Ku: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Ukuxilongwa Okusekelwe kuNelson Pediatric Syndrome-based. IPhiladelphia, PA: Elsevier; 2018: isahluko 16.