Encopresis

Kana mwana ane makore anopfuura mana ekuberekwa akadzidziswa chimbuzi, uye achingopfuura chetsoka uye nevhu mbatya, inonzi encopresis. Mwana anogona kana kunge asiri kuita izvi nemaune.

Mwana anogona kunge achizvimbirwa. Chituru chakaoma, chakaoma, uye chakanamatira mukoloni (inonzi fecal impaction). Mwana anozopfuura chete kunyorova kana kuda stool yemvura inoyerera yakatenderedza stool yakaoma. Inogona kubuda mukati masikati kana husiku.

Zvimwe zvikonzero zvinogona kusanganisira:

• Kwete chimbuzi kudzidzisa mwana
• Kutanga kudzidziswa muchimbuzi mwana achiri mudiki
• Zvinetso zvepfungwa, senge kushora kushora kusagadzikana kana kusagadzikana kwehunhu

Chero chingave chikonzero, mwana anogona kunzwa kunyara, kuzvipa mhosva, kana kuzvitarisira pasi, uye anogona kuvanza zviratidzo zve encopresis.

Zvinhu zvinogona kuwedzera njodzi ye encopresis zvinosanganisira:

• Kuzvimbirwa kusingaperi
• Yakaderera mamiriro ezvehupfumi

Encopresis yakanyanya kuwanda muvakomana kupfuura kuvasikana. Zvinowanzoenda kuenda sezvo mwana anokura.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kutadza kubata chigaro usati waenda kuchimbuzi (ura kusagadzikana)
• Kupfuura chigaro munzvimbo dzisina kukodzera (senge muhembe dzemwana)
• Kuchengeta ura kufamba muchivande
• Kuve nekuzvimbirwa uye zvituru zvakaoma
• Kupfuura chigaro chihombe kwazvo dzimwe nguva chinenge chinovhara chimbuzi
• Kupererwa nechido
• Urine kuchengetedza
• Kuramba kugara pachimbuzi
• Kuramba kutora mishonga
• Kutumbuka kunzwa kana kurwadziwa mudumbu

Mubatsiri wezvehutano anogona kunzwa kuti chituru chakanamatira mureceum yemwana (fecal impaction). X-ray yedumbu remwana inogona kuratidza yakabata chigaro mukoloni.

Iye mupi anogona kuita ongororo yeiyo nervous system kutonga kunze kwemuzongoza dambudziko.

Mimwe bvunzo inogona kusanganisira:

• Kuongorora urinal
• Urine tsika
• Utachiona hwebasa
• Celiac yekuongorora bvunzo
• Serum calcium bvunzo
• Serum electrolytes bvunzo

Chinangwa chekurapa ndechekuti:

• Kudzivirira kupatira
• Chengetedza maitiro akanaka emudumbu

Zviri nani kuti vabereki vatsigire, pane kushoropodza kana kuodza moyo mwana.

Mishonga inogona kusanganisira chero yeanotevera:

• Kupa mwana laxatives kana enemas kubvisa yakaoma, yakaoma stool.
• Kupa mwana zvigutsi.
• Kuita kuti mwana adye chikafu chine fiber yakawanda (michero, miriwo, zviyo zvese) uye nekunwa mvura yakawanda kuitira kuti zvituru zvinyoro uye zvive nyore.
• Kutora flavour yemafuta emamineral kwenguva pfupi. Iyi ingori yekurapa kwenguva pfupi nekuti mamineral oiri anopindira mukumwa kwecalcium uye vhitamini D.
• Kuona chiremba gastroenterologist apo kurapwa uku hakuna kukwana. Chiremba anogona kushandisa biofeedback, kana kudzidzisa vabereki nemwana maitiro ekugadzirisa encopresis.
• Kuona chiremba wezvepfungwa kubatsira mwana kubata nekunyadziswa kwakabatana, mhosva, kana kurasikirwa kwekuzviremekedza.

Zve encopresis isina kupatirwa, mwana angangoda kuongororwa kwepfungwa kuti awane chikonzero.

Vazhinji vana vanopindura zvakanaka pakurapwa. Encopresis inowanzo dzoka, saka vamwe vana vanoda kurapwa kunoramba kuripo.

Kana akasarapwa, mwana anogona kunge achizvitarisira pasi uye aine matambudziko ekugadzira nekuchengetedza shamwari. Zvimwe zvinonetsa zvinogona kusanganisira:

• Kuzvimbirwa kusingaperi
• Urinary Incontinence

Fonera musangano kuti uwane musangano wako kana mwana apfuura makore mana uye ane encopresis.

Encopresis inogona kudzivirirwa ne:

• Chimbuzi kudzidzisa mwana wako pazera chairo uye nenzira yakanaka.
• Kutaura nemupi wako nezvezvinhu zvaunogona kuita kuti ubatsire mwana wako kana mwana wako achiratidza zviratidzo zvekudzvinyirirwa, senge yakaoma, yakaoma, kana isingagare zvituru.

Kudyara; Kusagadzikana - chigaro; Kuzvimbirwa - encopresis; Impaction - encopresis

Marcdante KJ, Kliegman RM. Digestive system kuongorora. Mune: Marcdante KJ, Kliegman RM, eds.Nelson Zvakakosha zvePediatrics. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 126.

Noe J. Kuzvimbirwa. Mune: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Nelson Pediatric Chiratidzo-Kubva Kuongorora. Philadelphia, PA: Elsevier; 2018: chits.