Encopresis

ʻO ka encopresis (en-ko-PREE-sis), i kapa ʻia i kekahi manawa he fecal incontinence a i ʻole ka haumia ʻana, ʻo ia ka hoʻokuʻu mau ʻana o ka wai ʻōpala (ma ka maʻamau ʻaʻole i manaʻo ʻia) i loko o nā lole. Ma ke ʻano maʻamau, e hana ia ke hōʻiliʻili ka wai ʻōpala i hoʻopaʻa ʻia i loko o ka colon a me ka rectum: E piha loa ka colon a e leaka ka wai ʻōpala wai ma kahi o ka wai ʻōpala i mālama ʻia, e hoʻohaumia ana i nā lole komo. I ka hopena, hiki i ka mālama ʻana i ka wai ʻōpala ke hoʻonui (distention) i nā ʻōpū a me ka nalowale o ke kaohi ʻana i nā neʻe ʻana o ka ʻōpū.

ʻO ka maʻamau, e hana ka encopresis ma hope o 4 mau makahiki, ke aʻo mua ke keiki e hoʻohana i ka halepaku. I ka hapanui o nā hihia, he hōʻailona ka haumia ʻana o ka constipation lōʻihi. ʻAʻole pinepine loa ia e hana me ka ʻole o ka constipation a he hopena paha ia o nā pilikia manaʻo.

Hiki i ka encopresis ke hoʻonāukiuki i nā mākua—a hilahila hoʻi no ke keiki. Eia naʻe, me ke ahonui a me ka hoʻoikaika maikaʻi, maʻamau ka holomua o ka mālama ʻana i ka encopresis.

Nā hōʻailona a me nā hōʻailona o ka encopresis paha:

• Ka lepo ʻana o ka wai ʻōpala a i ʻole ka wai ʻōpala ma luna o ka lole komo, hiki ke kuhi he maʻi ʻōpū
• Ka paʻa ʻana o ka ʻōpū me ka maloʻo, paʻakikī ka wai ʻōpala
• Ka hele ʻana o ka wai ʻōpala nui e kāʻili a kokoke e kāʻili i ka halepaku
• Pale ʻana i ka hele ʻana o ka ʻōpū
• Nā manawa lōʻihi ma waena o ka hele ʻana o ka ʻōpū
• nele o ka makemake i ka ʻai
• ʻeha ʻōpū
• Nā pilikia me ka pulu ʻana i ke ao a i ʻole ka moe ʻana (enuresis)
• Hoʻomau i nā maʻi ʻōpū, maʻamau i nā kaikamāhine

E kāhea i kāu kauka inā ua aʻo mua ʻia kāu keiki e hoʻohana i ka halepaku a hoʻomaka e ʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona i helu ʻia ma luna.

He mau kumu like ʻole o ka encopresis, me ka constipation a me nā pilikia o ka manaʻo.

ʻOi aku ka maʻamau o ka encopresis i nā keikikāne ma mua o nā kaikamahine. Hiki i kēia mau mea pilikia ke hoʻonui i ka manawa o ka loaʻa ʻana o ka encopresis:

• Ka hoʻohana ʻana i nā lāʻau lapaʻau e hiki ai ke kumu i ka constipation, e like me nā mea hoʻoemi i ka ʻōhū
• Attention-deficit/hyperactivity disorder (ADHD)
• Autism spectrum disorder
• Hopohopo a i ʻole ka kaumaha

He keiki me ka encopresis, hiki iā ia ke ʻike i nā manaʻo like ʻole, e like me ka hilahila, ka huhū, ka minamina a me ka inaina. Inā hoʻohenehene ʻia kāu keiki e nā hoaaloha a i ʻole e hoʻohewa ʻia a hoʻopaʻi ʻia paha e nā mākua, hiki iā ia ke manaʻo kaumaha a i ʻole haʻahaʻa kona manaʻo ponoʻī.

Eia kekahi mau hoʻolālā e kōkua ai i ka pale ʻana i ka encopresis a me kāna mau pilikia.

No ka hōʻoiaʻana i ka encopresis, hiki i ke kauka o kāu keiki ke:

• Hana i kahi hōʻoia kino a kūkā i nā hōʻailona, nā neʻe o ka ʻōpū a me nā ʻano ʻai e kāpae i nā kumu kino no ka constipation a i ʻole ka haumia
• Hana i kahi hōʻoia rectal digital e nānā i kahi waihona i hoʻopaʻa ʻia ma ke komo ʻana i kahi manamana lima lubricated, pale i loko o ka rectum o kāu keiki ʻoiai e kaomi ana i kona ʻōpū me ka lima ʻē aʻe
• Manaʻo i kahi X-ray ʻōpū e hōʻoia i ke alo o ka waihona i hoʻopaʻa ʻia
• Manaʻo e hana ʻia kahi loiloi noʻonoʻo inā ke kōkua nei nā pilikia manaʻo i nā hōʻailona o kāu keiki

ʻO ka mea maʻamau, ʻo ka hoʻomaka koke ʻana o ka mālama ʻana no ka encopresis, ʻoi aku ka maikaʻi. ʻO ka hana mua, ʻo ia ka hoʻomaʻemaʻe ʻana i ka colon mai ka waiho ʻia, a me ka paʻa ʻana o ka poop. Ma hope o kēlā, e kau ka mālama ʻana i ka hoʻoikaika ʻana i nā neʻe ʻana o ka ʻōpū. I kekahi mau hihia, hiki i ka psychotherapy ke kōkua i ka mālama ʻana.

He nui nā ʻano hana no ka hoʻomaʻemaʻe ʻana i ka colon a me ka hoʻopau ʻana i ka constipation. E kuhikuhi paha ke kauka o kāu keiki i hoʻokahi a ʻoi aku paha o kēia mau mea:

Hiki i ke kauka o kāu keiki ke kuhikuhi i ka nānā pono ʻana e nānā i ka holomua o ka hoʻomaʻemaʻe ʻana o ka colon.

Ke hoʻomaʻemaʻe ʻia ka colon, he mea nui ka hoʻoikaika ʻana i kāu keiki e loaʻa nā neʻe ʻana o ka ʻōpū maʻamau. Hiki i ke kauka o kāu keiki ke kuhikuhi i:

Hiki i ke kauka o kāu keiki a i ʻole ka loea olakino noʻonoʻo ke kūkākūkā i nā ʻano hana no ke aʻo ʻana i kāu keiki e loaʻa nā neʻe ʻana o ka ʻōpū maʻamau. Ua kapa ʻia kēia i kekahi manawa he hoʻololi ʻana i ka ʻano a i ʻole ka hoʻomaʻamaʻa hou ʻana i ka ʻōpū.

Hiki i ke kauka o kāu keiki ke kuhikuhi i ka psychotherapy me kahi loea olakino noʻonoʻo inā pili paha ka encopresis i nā pilikia manaʻo. Hiki nō hoʻi ke kōkua ka psychotherapy inā manaʻo kāu keiki i ka hilahila, ka hewa, ka kaumaha a i ʻole ka haʻahaʻa o ka manaʻo ponoʻī e pili ana i ka encopresis.

• Kekahi mau laxatives

• Rectal suppositories

• Enemas

• Nā loli i ka ʻai e komo pū ai ka nui o ka fiber a me ka inu ʻana i nā wai lawa

• Laxatives, e hoʻopau mālie iā lākou ke hoʻi ka ʻōpū i ka hana maʻamau

• Ke aʻo ʻana i kāu keiki e hele i ka halepaku i ka hiki koke ʻana i ka makemake e hele i ka ʻōpū

• Ka hoʻāʻo pōkole o ka haʻalele ʻana i ka waiū pipi a i ʻole ka nānā ʻana i ka intolerance o ka waiū pipi, inā hōʻike ʻia

Mai hoʻohana i nā enemas a i ʻole nā laxatives - me nā huahana lāʻau lapaʻau a i ʻole homeopathic - me ka ʻole o ke kamaʻilio mua ʻana me ke kauka o kāu keiki.

Ke mālama ʻia kāu keiki no ka encopresis, he mea nui ia e paipai ʻoe i ka neʻe mau ʻana o ka ʻōpū. Hiki i kēia mau ʻōlelo aʻoaʻo ke kōkua:

• E nānā i ka fiber. E hānai i kāu keiki i ka ʻai kaulike e komo pū ana i ka nui o nā hua, nā huaʻai, nā huaola holoʻokoʻa a me nā meaʻai ʻē aʻe i kiʻekiʻe i ka fiber, kahi e kōkua ai i ka hana ʻana i nā waiū palupalu.
• E paipai i kāu keiki e inu wai. ʻO ka inu wai lawa e kōkua i ka pale ʻana i ka paʻakikī o ka waiū. Hiki i nā wai ʻē aʻe ke kōkua, akā e nānā i nā calorie.
• E hoʻonohonoho i ka manawa halepaku. E noho kāu keiki ma ka halepaku no 5-10 mau minuke i nā manawa maʻamau i kēlā me kēia lā. ʻOi aku ka maikaʻi o kēia ma hope o nā meaʻai no ka mea e ʻoi aku ka ikaika o ka ʻōpū ma hope o ka ʻai ʻana. E hoʻomaikaʻi i kāu keiki no ke noho ʻana ma ka halepaku e like me ke noi a me ka ho'āʻo.
• E kau i kahi footstool kokoke i ka halepaku. Hiki i kēia ke ʻoluʻolu hou aku i kāu keiki, a ʻo ka hoʻololi ʻana i ke kūlana o kona mau wāwae hiki ke hoʻokomo i kaomi hou aku ma ka ʻōpū, e maʻalahi ai ka neʻe ʻana o ka ʻōpū.
• E hoʻomau i ka papahana. Hiki ke lawe i nā mahina e hoʻi hou i ka manaʻo maʻamau a me ka hana o ka ʻōpū a hoʻomohala i nā maʻamau hou. ʻO ka hoʻomau ʻana i ka papahana hiki ke hoʻemi i nā relapses.
• E paipai a me ka maikaʻi. I kou kōkua ʻana i kāu keiki e lanakila i ka encopresis, e hoʻomanawanui a hoʻohana i ka hoʻoikaika maikaʻi. Mai hewa, hoʻohewa a hoʻopaʻi i kāu keiki inā loaʻa iā ia ka ulia. Ma kahi o ia mea, e hāʻawi i kou aloha a me kou kākoʻo unconditional.
• E kaupalena i ka waiū pipi inā ʻo ia ka mea a ke kauka i ʻōlelo ai. I kekahi mau hihia, hiki i ka waiū pipi ke hoʻokomo i ka constipation, akā loaʻa nō hoʻi i nā huahana waiū nā meaʻai nui, no laila e nīnau i ke kauka i ka nui o ka waiū e pono ai kāu keiki i kēlā me kēia lā.