Encopresis

Ko te encopresis (en-ko-PREE-sis), e kiia ana i etahi wā he kore-manaaki i te whakaheke toto, he whakaheke toto rānei, ko te whakahekekeke i te paru (he maha tonu te kore-whakaaro) ki roto i te kakahu. Ko te tikanga ka puta i te wa e kohikohi ana te paru i roto i te kōkō me te tūturu: Ka tino ki te kōkō ka rere te paru wai i te paru i pupuritia, ka poke te kakahu raro. I te mutunga, ka taea e te pupuri paru te whakapiki (te whakawhāiti) i nga whekau me te ngaro o te mana whakahaere i nga nekehanga o te whekau.

Ko te nuinga o te wa ka puta te encopresis i muri i te 4 tau, ina kua ako te tamaiti ki te whakamahi i te wharepaku. I te nuinga o nga keehi, he tohu te whakaheke toto o te mate koretake roa. He iti rawa te puta mai me te kore o te mate koretake, a, tera pea te hua o nga take hinengaro.

Ka taea e te encopresis te whakapouri i nga matua—me te whakama i te tamaiti. Heoi, ma te manawanui me te whakatenatena pai, ko te maimoatanga mo te encopresis he angitu tonu.

Ngā tohu me ngā pūāhua o te encopresis ka uru atu ki:

• Te rere o te kakau, te wai ranei ki runga i te kakahu raro, ā, ka raru pea te whakaaro he ruaki
• Te kōpū kōpuku me te kakau maroke, pakeke
• Te paheketanga o te kakau nui e kīia ana, e tata ana rānei ki te kī te wharepaku
• Te karo i te nekehanga o te kopū
• Ngā wā roa i waenga i ngā nekehanga o te kopū
• Te kore hiahia kai
• Te mamae o te kopū
• Ngā raruraru ki te whakamakuku i te awatea, te moe rānei (enuresis)
• Ngā mate mimi maha, i te nuinga o ngā kōtiro

Kī atu ki tō tākuta mena kua ako kē tō tamaiti ki te whakamahi i te wharepaku, ā, ka tīmata te wheako i tētahi, atu rānei o ngā tohu i whakarārangihia i runga nei.

He maha ngā take o te encopresis, tae atu ki te koretake me ngā take ā-wairua.

Ko te encopresis he mea noa ake ki ngā tamaiti kāne i ngā kōhine. Ka piki pea enei take morearea i te tūponotanga o te encopresis:

• Te whakamahinga rongoā ka pāngia ai te kōpū kōtiti, pēnei i ngā rongoā whakangāhā mare
• Te raru aro-kore/te hyperactivity (ADHD)
• Te mate āhua āwhina
• Te manukanuka, te pouri rānei

He tamaiti he encopresis kei a ia pea e kitea ai te maha o ngā kare-a-roto, tae atu ki te whakama, te riri, te whakama me te riri. Ki te whakahi te hoa, ki te whakahe, ki te whiu rānei e te hunga pakeke, pea ka pouri ia, ka iti rānei tōna whakaaro ki a ia.

Ko ēnei whāinga whai muri nei ētahi o ngā rautaki ka taea te āwhina i te aukatinga i te encopresis me ōna raruraru.

Hei whakatau i te encopresis, pea ka:

• Whakahaere i te tātai tinana me te kōrero mō ngā tohu, ngā nekehanga o te whekau me ngā tikanga kai hei whakakore i ngā take tinana mō te kōpū kōpū rānei te paru
• Me mahi te whakamātautau o te tūāpapa ki te tirotiro i te paru i pakūhia mā te whakauru i te matihao i whakawai, i te ringa ki roto i te tūāpapa o tō tamaiti me te pēhi i tōna kopu ki tetahi ringa
• Tūtohutia he X-ray o te kopu hei whakau i te noho o te paru i pakūhia
• Tūtohutia kia mahia he aromatawai hinengaro ki te whai wāhi ngā take ngakau ki ngā tohu o tō tamaiti

Ko te tikanga, ko te wātea ake te tīmatanga o te rongoā mō te encopresis, ko te pai ake. Ko te kaupapa tuatahi ko te whakakore i te kōpū o te paru i pupuritia, i pēhia. I muri i tera, ka aro te rongoā ki te whakatenatena i ngā nekehanga o te kopū hauora. I ētahi wā, ka āhei te whakaaroaro hei tāpiri whai hua ki te rongoā.

He maha ngā tikanga mō te whakakore i te kōpū me te whakaora i te kōpū kōpū. Ka tūtohutia pea e te tākuta o tō tamaiti tētahi, atu rānei o ēnei:

Ka tūtohutia pea e te tākuta o tō tamaiti te whai i te tata ki te tirotiro i te ahuatanga o te whakakore i te kōpū.

Kia oti te whakakore i te kōpū, he mea nui kia whakatenatena tō tamaiti kia maha ngā nekehanga o te kopū. Ka tūtohutia pea e te tākuta o tō tamaiti:

Ka taea e te tākuta o tō tamaiti, e te tohunga hauora hinengaro rānei te kōrero mō ngā tikanga mō te whakaako i tō tamaiti kia maha ngā nekehanga o te kopū. Ka kiia tēnei i etahi wā ko te whakarerekētanga whāinga, ko te whakangungu kopū rānei.

Ka tūtohutia pea e te tākuta o tō tamaiti te whakaaroaro ki tetahi tohunga hauora hinengaro mēnā ka hono pea te encopresis ki ngā take ngākau. Ka āhei hoki te whakaaroaro mēnā ka raru tō tamaiti ki te whakama, te whakahe, te pouri, te iti rānei o te whakaaro nui e pā ana ki te encopresis.

• Ngā rongoā whakahaere kōpū

• Ngā suppositories tūturu

• Ngā enemas

• Ngā huringa kai e whakauru ana i te nui o te muka me te inu wai tika

• Ngā rongoā whakahaere kōpū, ka mutu te whakamahi i a rātou i te wā ka hoki te kopū ki te mahi noa

• Te whakangungu i tō tamaiti kia haere ki te wharepaku i te wā e taea ai te hiahia ki te neke i te kopū

• He whakamātautau poto ki te mutu i te miraka kau, ki te tirotiro rānei mō te kore-whakaae ki te miraka kau, ki te tohu.

Kaua e whakamahi i ngā enema, i ngā laxative rānei—tae atu ki ngā hua tāonga rongoā me ngā hua homiopati—kaua rawa atu i te kōrero atu ki te tākuta o tō tamaiti.

I muri i te whakaora i tō tamaiti mō te encopresis, he mea nui kia whakatenatena e koe ngā nekehanga o te kopu. Ka āwhina ēnei tohutohu:

• Aro atu ki te muka. Whāngai i tō tamaiti i te kai tōtika e wātea ana ngā hua, ngā huawhenua, ngā witi katoa me ētahi atu kai e nui ana te muka, ka taea te hanga i ngā paru ngawari.
• Whakatenatena tō tamaiti kia inu wai. Ko te inu wai nui te āwhina i te pupuri i te paru kei te pakari. Ka āwhina pea ētahi atu wai, engari kia titiro ki ngā calorie.
• Whakarite i te wā o te wharepaku. Me noho tō tamaiti ki te wharepaku mō ngā meneti 5-10 i ngā wā noa i ngā rā katoa. He pai tēnei i muri i ngā kai, no te mea ka kaha ake te mahi o te kopu i muri i te kai. Whakamoemititia tō tamaiti mō te noho ki te wharepaku i te mea i tonoa me te ngana.
• Whakanohoia he turanga waewae tata ki te wharepaku. Ka āhei pea tēnei kia mārama ake tō tamaiti, ā, ko te whakarereke i te tū o ōna waewae ka taea te whakapēhi atu i te kopu, ka ngāwari ake te nekehanga o te kopu.
• Hāngai ki te kaupapa. Ka roa pea ngā marama kia whakahokia mai te pūmanawa o te kopu me te mahi me te whakawhanake i ngā tikanga hou. Ko te pupuri ki te kaupapa ka taea te whakaiti i ngā whakahokinga.
• Kia whakatenatena me te pai. I a koe e āwhina ana i tō tamaiti ki te wikitoria i te encopresis, kia manawanui me te whakamahi i te whakatenatena pai. Kaua e whakahe, e whakahē rānei, e whiu rānei i tō tamaiti ki te pōhē rātou. Engari, hoatu tō aroha me tō tautoko kore whakaaro.
• Whakamāmā i te miraka kau ki te mea ko te mea tena i tūtohu te tākuta. I ētahi wā, ka taea e te miraka kau te whakauru ki te kōpū, engari kei roto hoki i ngā hua waiū ngā kai matū nui, na reira ui atu ki te tākuta te nui o te waiū e hiahiatia ana e tō tamaiti i ia rā.