He aha te Encopresis? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te encopresis te whakamahinga o te tamaiti kua whakangungua ki te wharepaku ki te whakamahi i ōna kakahu, i ētahi atu wāhi rānei hei wāhi whakamahinga. Ka puta tēnei nā te kōtiti o te paru i roto i te kōrohī, ā, ka rere te paru wai i te taha o te kōtiti.

Ka pā tēnei āhuatanga ki te 1-3% o ngā tamariki, i te nuinga i waenga i ngā tau 4 me te 12. Kāore tēnei e mahi ana tō tamaiti, ā, ehara i te tohu o ngā raruraru whānau, i te mātua kino rānei.

He aha te Encopresis?

Ka puta te encopresis ina tīmata ngā tamariki kua whakangungua ki te wharepaku mo te whā marama neke atu ki te whai i ngā aituā paru. Ko te kupu hauora e whakaatu ana i te tohu me te take o te raru.

Whakaarohia he rori i roto i ngā whekau o tō tamaiti. Ka mutu te paru, ka pakari, ka hangaia he kōtiti. Katahi ka rere te paru hou, ngawari i te taha o tēnei kōtiti, ka arahi ki ngā aituā kaore e taea e tō tamaiti te whakahaere.

E rua ngā momo matua. Ko te encopresis pupuri ka puta ina pupuri ngā tamariki i ō rātou paru, ka arahi ki te kōtiti me te rere o te paru. Ko te encopresis kore pupuri he iti ake te noho, ka puta kaore he kōtiti, he maha ngā take whānau, i ngā take whanaketanga rānei.

He aha ngā Tohutohu o te Encopresis?

Ko te tohu tino marama ko te kite i te paru i roto i ngā kakahu o tō tamaiti, i ētahi atu wāhi rānei. Heoi, he maha atu ngā tohu e puta ana i te taha o ēnei aituā.

Ko ēnei ngā tohu noa hei titiro:

• Te paru i ngā kakahu me ngā paru iti
• Ngā paru nui, pakari ka taea te kōtiti i te wharepaku
• Te mamae o te kopu, te mamae rānei
• Te ngaro o te hiahia kai
• Ngā mate huaketo i te ara mimi
• Te karo i te whakamahinga o te wharepaku, te wehi rānei ki te whakamahi i te wharepaku
• Te whāiti i ngā mahi wharepaku

Ka kite pea koe i te kore mohio o tō tamaiti ki te kakara, te kore rānei e raruraru ki ngā kakahu paru. Ka puta tēnei nā te whakaatu tonu ki te kakara ka whakaiti i ōna kaha ki te kite i te kakara.

Ka pāngia etahi tamariki e ngā huringa whānau. Ka taea e rātou te tangohanga, te riri, te ngaro rānei o te whakapono. He tino mārama ēnei whakautu kare-a-roto i te āhua whakama o te āhuatanga.

He aha ngā Momo o te Encopresis?

Ka wehewehea e ngā tākua te encopresis ki ētahi momo matua e whakaatu ana i te take o te raru. Ko te mārama ki te momo o tō tamaiti ka āwhina i te whakatau i te huarahi maimoatanga pai.

Ko te encopresis pupuri te momo tino noa, ka pā ki te 95% o ngā tamariki me tēnei āhuatanga. Ka puta ina pupuri tonu tō tamaiti i ngā mahi paru, ka arahi ki te kōtiti roa me te kore-whakahaere o te paru.

Ko te encopresis kore pupuri he iti ake te noho, ka puta kaore he kōtiti. Ka taea e ngā tamariki me tēnei momo te whai i ngā whakaroa whanaketanga, ngā take whānau, te kore rānei i te whakangungua ki te wharepaku.

Ka whakatau tō tākua te momo mā te tirotiro tinana me te hītori hauora. He mea nui tēnei wehenga, nā te rerekē o ngā huarahi maimoatanga i waenga i ngā momo e rua.

He aha ngā Take o te Encopresis?

Ka puta te encopresis ina karo ngā tamariki i te whakamahinga o te wharepaku mō ngā take maha. Ka arahi tēnei karo ki te huringa o te kōtiti me te ngaro o te whakahaere paru.

He maha ngā take ka whakaoho i tēnei tauira o te pupuri paru:

• Ngā mahi paru mamae mai i te kōtiti, i ngā pakaru anal rānei
• Ngā take oranga āwhina penei i te nekehanga, te wehe, te tīmatanga rānei o te kura
• Ngā tautohetohe mana i te whakangungua ki te wharepaku
• Te wehi ki te whakamahi i ngā wharepaku kaore i te mohiotia
• Te tino pukumahi ki te takaro ki te haere ki te wharepaku
• Ngā huringa kai, te kore rānei o te kai muka
• Ētahi rongoā ka whakaiti i ngā mahi paru

I ētahi wā, ka taea e ngā āhuatanga hauora te whakauru ki te encopresis. Kei roto i ēnei te spina bifida, te cerebral palsy, i ētahi atu mate neurological e pā ana ki te whakahaere paru.

I ētahi wā, kaore te take e marama tonu. Ko te tīmatanga hei pupuri wawe ka tere te riro hei raru tinana i te whakatete o te rectum me te ngaro o te mārama ki te hiahia ki te paru.

Nōhea te Tiro atu ki te Tākua mō te Encopresis?

Me whakapiri atu koe ki te tākua o tō tamaiti mena ka tīmata ngā tamariki kua whakangungua ki te wharepaku ki te whai i ngā aituā paru. Ka taea e te whakauru wawe te aukati i te āhuatanga mai i te nui ake me te pouri.

Rapua te awhina hauora inaianei mena ka whakaatu tō tamaiti i ēnei tohu whakatūpato:

• Ngā aituā paru e puta ana i ngā wā maha i te wiki
• Ngā paru pakeke, nui e pā ana ki te mamae, ki te toto rānei
• Te mamae o te kopu, te pupū rānei
• Te ngaro o te hiahia kai, te ngaro rānei o te taumaha
• Te kirika me te kōtiti
• Ngā huringa whānau, te pouri rānei

Kaua e tatari kia kite mena ka mutu te raru. Kaore te encopresis e pai ake me te kore he maimoatanga hauora tika, ka taea te kino ake i te wa roa ki te kore e maimoatia.

Kia mahara, ehara tēnei i te whakaata o tō mātua, i te āhua rānei o tō tamaiti. He āhuatanga hauora tēnei e whakautu pai ana ki te maimoatanga tika ina whakahaeretia wawe.

He aha ngā Take Whakapā o te Encopresis?

Ahakoa ehara te encopresis i te mea kino, ka taea e ia te arahi ki ngā raruraru maha e pā ana ki te oranga tinana me te ngākau o tō tamaiti. Ka whakaatu ēnei raruraru i te take nui o te maimoatanga wawe.

Ko ēnei ngā raruraru noa:

• Ngā mate huaketo i te ara mimi
• Te kōtiti kino e uaua ana ki te maimoatanga
• Ngā pakaru anal, ngā pakaru rānei mai i ngā paru pakeke
• Te mamae o te kopu roa
• Te kore hiahia kai me ngā ngoikoretanga kai
• Te wehe i te hapori me te whakama
• Te iti o te whakaaro ki a ia ano me ngā raruraru whānau
• Te ahotea whānau me te tautohetohe

Ka taea te puta o ngā raruraru kino, engari he iti te noho, ki te kore e maimoatia te kōtiti kino. Kei roto i ēnei te kōtiti o te whekau, i te āhuatanga e kiia nei ko te megacolon, ka nui haere te kōrohī.

Ko te pānga kare-a-roto te mea tino uaua ki ngā whānau. Ka taea e ngā tamariki te tangohanga mai i ngā mahi hapori, te whawhai i te kura, te whanake rānei i te awangawanga i te whakamahinga o te wharepaku.

Me te maimoatanga tika, ka taea te aukati i ēnei raruraru, te whakatau rānei. Ka hoatu e te whakauru wawe ki tō tamaiti te tupono pai mō te ora katoa kaore he pānga roa.

Me pēhea te aukati i te Encopresis?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te encopresis, he maha ngā rautaki ka taea te whakaiti i te tupono o tō tamaiti. Ka arotahi ēnei tikanga aukati ki te pupuri i ngā tikanga paru hauora me te whakahaere i ngā raruraru wawe.

Tīmata mā te whakatū i ngā mahi wharepaku noa. Whakatenatena tō tamaiti ki te noho ki te wharepaku i ngā wā kotahi i ia rā, ina koa i muri i ngā kai ina ka kaha te hiahia ki te paru.

Ko ēnei ngā rautaki aukati matua:

• Te whakarato i te kai nui-muka me ngā hua me ngā huawhenua
• Te whakarite i te inu wai nui i te rā
• Te whakatenatena i te mahi tinana noa
• Te hanga i te taiao wharepaku pai, kore ahotea
• Te whakahaere i te kōtiti ina puta
• Te karo i ngā tautohetohe mana i te whakangungua ki te wharepaku
• Te whakaako i ngā tikanga horoi tika

Tirohia ngā tikanga wharepaku o tō tamaiti me te āhua kare-a-roto. Mena ka kite koe i ngā tohu o te kōtiti, te kore rānei e hiahia ki te whakamahi i te wharepaku, whakahaerehia ēnei take i mua i te nui haere.

I ngā wā ahotea o te oranga, whakaratohia te tautoko atu me te pupuri i ngā mahi noa. Ka āwhina tēnei ki te aukati i ngā mahi karo wharepaku ka arahi ki te encopresis.

Me pēhea te Whakatau i te Encopresis?

Ka whakatauhia e ngā tākua te encopresis mā te hītori hauora me te tirotiro tinana. Ka ui tō tākua ngā patai taipitopito mō ngā tohu o tō tamaiti, ngā tikanga paru, me ngā huringa hou i te whānau, i te mahi rānei.

Ko te tukanga whakatau i te nuinga ka whai i ngā kaupae maha. Tuatahi, ka mahi tō tākua he tirotiro tinana, tae atu ki te tirotiro i te kopu o tō tamaiti mō ngā paru nui me te tirotiro i te rohe anal mō ngā pakaru, i ētahi atu raru rānei.

Ka taea e tō tākua te tono i ngā whakamātautau atu i ētahi wā:

• Te X-ray kopu hei tirotiro mō te kōtiti paru
• Ngā whakamātautau toto hei whakakore i ngā āhuatanga
• He iti te noho, ngā whakamātautau motuhake ake penei i te manometry anorectal

Kaore te nuinga o ngā tamariki e hiahia ana ki te whakamātautau whānui. Ko te whakatau i te nuinga ka marama mai i te hītori me te tirotiro tinana anake.

Ka aromatawai hoki tō tākua mena he pupuri, he kore pupuri rānei tēnei encopresis. Ka ārahi tēnei wehenga i te whakarite maimoatanga me te āwhina i te kī he pēhea te whakautu o tō tamaiti ki te rongoā.

Kia rite ki te kōrero mō te kai o tō tamaiti, ngā taumata ahotea, me te hītori whakangungua wharepaku. Ka āwhina tēnei korero i tō tākua ki te mārama ki ngā take me te whakawhanake i te mahere maimoatanga whai hua.

He aha te Maimoatanga mō te Encopresis?

Ko te maimoatanga mō te encopresis i te nuinga ka whai i te huarahi toru-kaupae e whakahaere ana i te raru tonu, te whakatū i ngā tikanga hauora, me te whakarato i te tautoko tonu. Ko te nuinga o ngā tamariki ka whakautu pai ki te maimoatanga, ahakoa ka roa pea etahi marama kia kite i te pai katoa.

Ko te kaupae tuatahi ka arotahi ki te horoi i te paru kōtiti. Ka taea e tō tākua te tūtohutia ngā laxatives waha, ngā suppositories, i ngā enemas hei tango i te kōtiti haumaru me te whai hua.

Ko ngā waahanga maimoatanga i te nuinga ka whai:

• Ngā rongoā hei whakamaene i te paru me te aukati i te kōtiti
• Ngā wā noho wharepaku whakaritea, ina koa i muri i ngā kai
• Ngā huringa kai hei whakanui i te muka me te inu wai
• Ngā huringa whānau me te whakatenatena pai
• Te mātauranga whānau me te tautoko
• I ētahi wā te tohutohu hei whakahaere i ngā āhuatanga kare-a-roto

Ko te kaupae pupuri ka whai i te aukati i te kōtiti o muri mā te rongoā tonu, ngā huringa kai, me ngā tikanga wharepaku noa. Ko tēnei kaupae i te nuinga ka roa etahi marama kia taea ai te hokinga mai o te rectum ki te rahi me te mārama noa.

Ka hiahia pea etahi tamariki ki te tautoko atu mai i ngā tohunga hauora hinengaro, ina koa ki te whai i ngā take whānau, i te pouri nui rānei e pā ana ki te āhuatanga.

Ko te angitu o te maimoatanga e whakawhirinaki ana ki te pumau me te manawanui mai i te whānau katoa. Ko te nuinga o ngā tamariki ka tutuki te whakatau i te maimoatanga tika, ahakoa ka taea e etahi te whai i ngā whakahoki i te wa whakaora.

Me pēhea te whakarato i te maimoatanga kāinga i te wa o te Encopresis?

Ko te whakahaere kāinga he mea nui ki te maimoatanga angitu o te encopresis. Ko tō tautoko pumau me te manawanui ka āwhina i tō tamaiti ki te wikitoria i tēnei āhuatanga uaua.

Hangaia he taiao mārama, tautoko i te taha o ngā mahi wharepaku. Kaua e whakaatu i te riri, i te pouri rānei ina puta ngā aituā, nā te mea ka taea e tēnei te kino ake i te raru me te pakaru i te whakaaro ki a ia ano o tō tamaiti.

Ko ēnei ngā rautaki kāinga whai hua:

• Te whakatū i ngā wā wharepaku noa, ina koa 15-30 meneti i muri i ngā kai
• Te whakarato i te turanga waewae kia taea ai e ngā waewae o tō tamaiti te pa ki tetahi mea i te noho
• Te pupuri i ngā kakahu tāpiri me ngā taputapu horoi
• Te tuku whakamoemiti mō te whakamahinga wharepaku angitu me te kore aro ki ngā aituā
• Te pupuri i ngā kaupae rongoā e rite ana ki te tākua
• Te mahi kai nui-muka me te whakatenatena i te inu wai nui
• Te whakaiti i ngā hua waiū mena ka puta te kino o te kōtiti

Whakahaerehia ngā aituā i te āhua noa. Me āwhina tō tamaiti ki te horoi i te huarahi e tika ana mō tōna tau, engari kaua e meinga hei whiu. Ka whakaako tēnei i te kawenga me te kore whakama.

Pupurihia he tātai ngāwari o ngā mahi paru, ngā aituā, me te kai. Ka āwhina tēnei korero i tō tākua ki te whakarite maimoatanga me te kimi i ngā tauira ka taea te whakauru ki te raru.

Kia mahara ka roa te pai ake. Ko te nuinga o ngā tamariki ka hiahia ki ngā marama maha o te maimoatanga pumau i mua i te kite i te pai nui, no reira he mea nui te manawanui mō te angitu.

Me pēhea te Whakamahere mō tō Hui Tākua?

Ko te whakamahere mō tō haerenga ki te tākua ka āwhina i te whakarite kia whiwhi koe i ngā korero me ngā tūtohu maimoatanga tino whai hua. Ko te kohikohi i ngā korero motuhake mō ngā tohu o tō tamaiti me ngā tikanga ka ārahi i te aromatawai a tō tākua.

I mua i tō hui, aroturukihia ngā mahi paru o tō tamaiti me ngā aituā mo te wiki kotahi neke atu. Tūtohuhia te auau, te āhua, me ngā tauira ka kite koe.

Ka kawea mai ēnei korero ki tō hui:

• Nōhea te tīmatanga o ngā aituā paru
• Te auau o ngā aituā
• Te auau mahi paru noa o tō tamaiti
• Ngā huringa hou i te kai, te mahi, i ngā taumata ahotea rānei
• Ngā rongoā, ngā taapiri rānei o nāianei
• Ngā maimoatanga o mua kua whakamātau koe
• Te whakautu kare-a-roto o tō tamaiti ki ngā aituā

Tuhia ngā pātai e hiahia ana koe ki te ui ki tō tākua. Ko ngā awangawanga noa ko te roa o te maimoatanga, ngā pānga o te rongoā, me te wa e tatari ana koe ki te pai ake.

Whakaarohia te kawenga mai i tō tamaiti ki te hui mena ka pakeke rātou ki te whai wāhi. Ka āwhina tēnei i a rātou ki te mārama he āhuatanga hauora te encopresis, me te mahi tahi ana koe ki te whakatau.

Kia pono ki ngā wero e pā ana ki a koe i te kāinga. Ka taea e tō tākua te whakarato i ngā rautaki atu me ngā rauemi tautoko hei āwhina i tō whānau i tēnei wā uaua.

He aha te Tākutake Matua mō te Encopresis?

Ko te encopresis he āhuatanga hauora e taea te maimoatanga e pā ana ki ngā tamariki me ngā whānau maha. Ko te mea nui hei mahara ko te kore e mahi ana tō tamaiti i tēnei, ā, ehara i te whakaata o ō kaha mātua.

Me te maimoatanga hauora tika me te tautoko whānau, ko te nuinga o ngā tamariki ka wikitoria katoa te encopresis. Ko te maimoatanga i te nuinga ka roa etahi marama, engari ko te nuinga o ngā whānau ka kite i te pai ake i te huarahi.

Ko te kī ki te angitu ko te manawanui, te pumau, me te pupuri i te huarahi pai, tautoko. Kaua e whiu, kaua e whakama, nā te mea ka taea e ēnei kare-a-roto te kino ake i te āhuatanga me te pakaru i te whakaaro ki a ia ano o tō tamaiti.

Ko te whakauru wawe ka arahi ki ngā hua pai ake, no reira kaua e whakaroa ki te rapu awhina hauora mena ka kite koe i ngā tohu o te encopresis. Ka taea e te tākua o tō tamaiti te whakarato i ngā kōwhiringa maimoatanga whai hua me te tautoko i tō whānau i te tukanga whakaora.

Kia mahara he mea wawe tēnei āhuatanga. Me te wa, te maimoatanga, me tō tautoko aroha, ka whakahokia mai e tō tamaiti te whakahaere paru noa me te whakapono.

Ngā Pātai Nui e uihia ana mō te Encopresis

P1: Kei te mahi whakaaro rānei taku tamaiti i tēnei?

Kāo, kāore ngā tamariki me te encopresis e paru ana i a rātou ano. Ko te āhuatanga kei roto te ngaro o te whakahaere paru nā te kōtiti roa me te kōtiti paru. Ka tino whakama pea tō tamaiti me te pouri mō ngā aituā, pēnei i a koe.

P2: E hia te roa o te maimoatanga mō te encopresis?

Ko te maimoatanga i te nuinga ka roa 6-12 marama, ahakoa ka pai ake etahi tamariki i mua atu, ka hiahia etahi atu ki te roa. Ko te raupapa e whakawhirinaki ana ki te kino o te kōtiti, te roa o te raru, me te pumau o te maimoatanga. Ko te nuinga o ngā whānau ka kite i te pai ake i roto i ngā marama tuatahi.

P3: Ka tupu rānei taku tamaiti i te encopresis me te kore maimoatanga?

Kaore te encopresis e mutu anake, ā, i te nuinga ka kino ake me te kore he maimoatanga tika. Ko te roa o te haere tonu, ko te uaua ake te maimoatanga me te nui ake o te pānga kare-a-roto ki tō tamaiti. Ko te whakauru hauora wawe ka arahi ki ngā hua pai ake.

P4: Ka taea e te encopresis te whakauru i te kino pumau?

Me te maimoatanga tika, ka mutu te encopresis katoa me te kore he pānga tinana roa. Heoi, ka taea e ngā take kore maimoatanga te arahi ki te kōtiti roa, ngā mate huaketo, me ngā raruraru kare-a-roto nui. Ko te kī ko te whiwhi i te tiaki hauora tika wawe.

P5: Me whiu rānei taku tamaiti mō ngā aituā?

Kaua rawa e whiu te tamaiti mō ngā aituā encopresis. Ka taea e te whiu te kino ake i te āhuatanga mā te whakanui i te ahotea me te whakama. Engari, whakautu mārama, whakauruhia tō tamaiti ki te horoi e tika ana mō tōna tau, me te arotahi ki te whakatenatena pai mō te whakamahinga wharepaku angitu me te whai i ngā mahere maimoatanga.