Impamvu z’Imihindagurikire mu Tuzi tw’Abana, Ibimenyetso, n’Uko Bavurwa

Impamvu z’imihindagurikire mu tuzi tw’abana bisobanura ko umwana wawe agira ikibazo cyo kunanirwa guhagarika umwanda cyangwa akamara igihe kirekire adakora umwanda. Ni kimwe mu bibazo by’igogorwa bibaho cyane ku bana, bikagera kuri 30% by’abana mu gihe runaka.

Nubwo bishobora gutera impungenge nk’umubyeyi, impamvu z’imihindagurikire mu tuzi z’abana akenshi iba ari igihe gito kandi ishobora kuvurwa hakoreshejwe impinduka zoroheje. Ibyinshi bibaho kubera imirire, impinduka z’imikorere, cyangwa ibice bisanzwe by’iterambere aho kuba ibibazo bikomeye by’ubuzima.

Impamvu z’imihindagurikire mu tuzi tw’abana ni iki?

Impamvu z’imihindagurikire mu tuzi bibaho iyo umwana wawe agira umwanda ukomeye, wumye, cyangwa ukora kenshi kurusha uko bisanzwe. Ku bana benshi, gukora umwanda munsi y’inshuro eshatu mu cyumweru ni ikimenyetso cy’impamvu z’imihindagurikire mu tuzi.

Ariko kandi, buri mwana afite uburyo bwe bwite. Bamwe mu bana bazima bakora umwanda inshuro eshatu ku munsi, abandi bakawukora buri munsi undi. Ikintu nyamukuru ni ukureba impinduka mu mikorere isanzwe y’umwana wawe, hamwe n’ibimenyetso by’ububabare cyangwa kubabara.

Iyo umwanda umaze igihe kinini mu gifu, umubiri ukomesha amazi menshi. Ibi bituma umwanda ukomeye kandi bigorana kuwukora, bigatuma ikibazo cy’impamvu z’imihindagurikire mu tuzi kirushaho kuba kibi uko iminsi igenda ishira.

Ni ibihe bimenyetso by’impamvu z’imihindagurikire mu tuzi ku bana?

Kumenya ibimenyetso by’impamvu z’imihindagurikire mu tuzi bigufasha kumenya igihe umwana wawe akeneye ubufasha bwihariye. Abana bakenshi ntibashobora gusobanura icyo bumva, bityo kureba ibi bimenyetso bihinduka ikintu gikomeye.

Ibimenyetso bisanzwe birimo:

• Gukora umwanda munsi y’inshuro eshatu mu cyumweru
• Umuwanda ukomeye, wumye, cyangwa umeze nk’amabuye mato
• Kubabara cyangwa kurira mu gihe akora umwanda
• Kuvuga ko afite ububabare mu nda cyangwa kubabara
• Amaraso ku mpapuro zo mu musarani cyangwa ku muwanda
• Kumva ko adashobora gukora umwanda wose

Ushobora kandi kubona impinduka mu myitwarire. Bamwe mu bana batangira kwirinda kujya mu musarani, bagafata umwanda, cyangwa bagaragaza ibimenyetso by’ububabare mu gihe bicaye. Ibi bikorwa bikunze kubaho kuko bibuka ibibazo babonye mbere.

Mu bihe bikomeye, abana bashobora kugira icyo abaganga bita “overflow incontinence.” Ibi bisobanura ko umwanda mwinshi utemba hafi y’umwanda ukomeye, ugatuma habaho impanuka ndetse no ku bana batojwe kujya mu musarani. Nubwo ibi bishobora gutera isoni, mu by’ukuri ni ikimenyetso cy’uburwayi gikenera kwitabwaho.

Ni iki gitera impamvu z’imihindagurikire mu tuzi ku bana?

Impamvu z’imihindagurikire mu tuzi z’abana akenshi ziterwa n’ibintu bya buri munsi bijyanye n’imirire, imyifatire, cyangwa iterambere risanzwe. Gusobanukirwa ibyo bintu bishobora kugufasha gukumira ibibazo mu gihe kizaza kandi ukumva ufite icyizere cyo gucunga iki kibazo.

Impamvu zisanzwe zirimo:

• Kudakoresha amazi ahagije cyangwa ibinyobwa
• Kurya ibiryo bike byuzuyemo amafibe nka imbuto n’imboga
• Kurya amata menshi, ibiryo byakorewe, cyangwa isukari y’ibinyobwa
• Impinduka z’imikorere, nko gutangira ishuri cyangwa gukora urugendo
• Guta umwanda kubera kuba bari guhangayika cyangwa batishimiye ubwiherero bwa rusange
• Kubura imyitozo ngororamubiri cyangwa siporo
• Umuvuduko uterwa n’impinduka mu muryango, kwimuka, cyangwa ibindi bibazo by’ubuzima

Rimwe na rimwe impamvu z’imihindagurikire mu tuzi ziba mu bihe by’impinduka zisanzwe. Kutoza umwana kujya mu musarani ni impinduka ikomeye ku bana bato, kandi bamwe barwanya gukora umwanda mu musarani.

Biracye, ibibazo by’ubuzima bishobora gutera impamvu z’imihindagurikire mu tuzi. Ibi birimo hypothyroidism, imiti imwe, gutinda kw’iterambere, cyangwa ibibazo by’imiterere y’umubiri. Ariko, impamvu z’ubuzima zigira uruhare mu kigero kiri munsi ya 5% by’impamvu z’imihindagurikire mu tuzi z’abana, bityo ni byiza kubimenya ariko ntabwo bikwiye gutera impungenge.

Ni ryari ukwiye kujyana umwana kwa muganga kubera impamvu z’imihindagurikire mu tuzi?

Impamvu z’imihindagurikire mu tuzi zikira hakoreshejwe ubuvuzi bw’iwabo, ariko hari ibintu bimwe na bimwe bisaba ubutabazi bw’abaganga. Kumenya igihe wakwiye guhamagara umuganga wawe bigufasha guha umwana wawe ubuvuzi bukwiye utabanje guhangayika.

Suhuza na muganga wawe niba umwana wawe agira ibi bikurikira:

• Adakora umwanda mu gihe kirekire kurusha icyumweru kimwe
• Afite ububabare bukomeye mu nda budakira
• Agira isesemi hamwe n’impamvu z’imihindagurikire mu tuzi
• Amaraso mu muwanda cyangwa kuva amaraso menshi mu kibuno
• Afite umuriro hamwe n’ibimenyetso by’impamvu z’imihindagurikire mu tuzi
• Agabanya ibiro cyangwa adafite ubushake bwo kurya
• Akora impanuka nyuma yo kumenya kujya mu musarani

Ugomba kandi gusaba inama y’abaganga niba impamvu z’imihindagurikire mu tuzi zibaye igihe kirekire, zikamara ibyumweru byinshi nubwo wagerageje ubuvuzi bw’iwabo. Impamvu z’imihindagurikire mu tuzi zidakira zishobora rimwe na rimwe gutera ibibazo bikenera kuvurwa hakiri kare.

Gira icyizere cy’ibyo wumva nk’umubyeyi. Niba hari ikintu kidakubereye cyangwa umwana wawe asa n’aho atabyishimiye, ugomba guhamagara umuganga wawe kugira ngo aguhe ubuyobozi. Bashobora kugufasha kumenya itandukaniro hagati y’impamvu z’imihindagurikire mu tuzi zisanzwe n’ibintu bikenera kwitabwaho byihariye.

Ni ibihe bintu byongera ibyago by’impamvu z’imihindagurikire mu tuzi ku bana?

Hari ibintu bimwe na bimwe bituma bamwe mu bana bafite ibyago byinshi byo kugira impamvu z’imihindagurikire mu tuzi. Gusobanukirwa ibyo bintu bishobora kugufasha gufata ingamba zo kwirinda no kumenya igihe umwana wawe ashobora kuba akeneye ubufasha bwihariye.

Ibintu bisanzwe byongera ibyago birimo:

• Imyaka iri hagati y’imyaka 2-4 mu gihe cyo kumenya kujya mu musarani
• Amateka y’umuryango afite impamvu z’imihindagurikire mu tuzi cyangwa ibibazo by’igogorwa
• Ubuzima butameze neza butagira imyitozo ngororamubiri
• Imirire irimo ibiryo byakorewe kandi bike byuzuyemo amafibe
• Kudakoresha amazi ahagije umunsi wose
• Imiti imwe nka imiti y’amabuye y’umutwe cyangwa imiti imwe yo kuvura indwara z’ubwonko
• Gutinda kw’iterambere cyangwa ibibazo by’ubwonko

Ibintu by’ibidukikije na byo bigira uruhare. Abana bahura n’umuvuduko ukomeye, impinduka zikunze kubaho, cyangwa badafite uburyo bwo kujya mu bwiherero bwiza bashobora kugira impamvu z’imihindagurikire mu tuzi vuba.

Bamwe mu bana bafite uburyo bwo kugogora buhoro, bituma bafite ibyago byinshi byo kugira impamvu z’imihindagurikire mu tuzi mu buzima bwabo bwose. Ibi ntibisobanura ko hari ikibazo ku mwana wawe, ahubwo bisobanura ko ashobora kuba akeneye kwitabwaho buri gihe ku mirire no ku myitwarire yo kujya mu musarani.

Ni ibihe bibazo bishobora guterwa n’impamvu z’imihindagurikire mu tuzi ku bana?

Nubwo impamvu z’imihindagurikire mu tuzi zikira zidafite ibibazo, gusobanukirwa ibibazo bishobora guterwa bigufasha kumenya igihe ukwiye gusaba ubufasha bwihariye. Ibi bibazo bikunze kubaho iyo impamvu z’imihindagurikire mu tuzi zidafite umuti, aho kuba ibibazo bya hato na hato.

Ibibazo bishobora guterwa birimo:

• Anal fissures - ibikomere bito ku ruhu rwo mu kibuno bituma ubabara kandi bikava amaraso
• Hemorrhoids - imitsi y’amaraso yabareye mu kibuno
• Rectal prolapse - iyo igice cy’umwanya w’inyuma cyasohoka hanze y’umubiri
• Fecal impaction - iyo umwanda ukomeye ugafata mu gifu
• Encopresis - kudakora umwanda utabishaka kubera impamvu z’imihindagurikire mu tuzi zidakira
• Urinary tract infections - kuva kw’ibitera indwara kubera impamvu z’imihindagurikire mu tuzi zigira ingaruka ku gusohora imyeyo

Impamvu z’imihindagurikire mu tuzi zidakira zishobora kandi gutera ibibazo by’amarangamutima. Abana bashobora kugira ubwoba bwo kujya mu musarani, bigatuma habaho ikibazo cy’ubwoba butuma impamvu z’imihindagurikire mu tuzi zirushaho kuba kibi. Bamwe mu bana batangira kwirinda ibikorwa cyangwa imimerere ya sosiyete kuko bahangayikishijwe n’impanuka.

Inkuru nziza ni uko ibibazo byinshi bishobora kwirindwa hakoreshejwe ubuvuzi bukwiye. Kuvura impamvu z’imihindagurikire mu tuzi hakiri kare bigabanya cyane ibyago byo kugira ibibazo bikomeye.

Impamvu z’imihindagurikire mu tuzi ku bana zishobora kwirindwa gute?

Kwiringira kwirinda akenshi bikora kurusha kuvura iyo bigeze ku mpamvu z’imihindagurikire mu tuzi z’abana. Imikorere yoroshye ya buri munsi ishobora gutuma igogorwa ry’umwana wawe rikora neza kandi ikarinda ibibazo byinshi kubaho.

Ingamba nyamukuru zo kwirinda zirimo:

• Gushishikariza umwana kunywa amazi ahagije umunsi wose
• Gutanga ibiryo byuzuyemo amafibe nka imbuto, imboga, n’ibinyampeke byuzuye
• Kugabanya ibiryo byakorewe, amata menshi, n’isukari y’ibinyobwa
• Gushyiraho igihe cyo kujya mu musarani buri gihe, cyane cyane nyuma yo kurya
• Gushishikariza imyitozo ngororamubiri ya buri munsi n’imikino
• Kurema ahantu heza, h’ibanga mu bwiherero
• Kugira imikorere ya buri munsi ihoraho

Kwigisha imyifatire myiza yo kujya mu musarani hakiri kare bigira ingaruka zikomeye. Shishikariza umwana wawe kwicara mu musarani iminota mike nyuma yo kurya, nubwo yumva adafite icyifuzo. Ibi bifasha mu mikorere isanzwe y’igogorwa kandi bifasha gushyiraho imyifatire myiza.

Kora uburyo umwana wawe afite intebe mu gihe akeneye kugira ngo amaguru ye yicare neza mu gihe yicaye mu musarani. Iyi myanya ifasha mu gukora umwanda neza kandi ituma ibintu biba byoroshye.

Impamvu z’imihindagurikire mu tuzi ku bana zimenyekanwa gute?

Abaganga bakunze kumenya impamvu z’imihindagurikire mu tuzi z’abana bashingiye ku bimenyetso n’amateka y’ubuzima aho kuba ibizamini bikomeye. Umuganga wawe azakubaza ibibazo birambuye ku myitwarire y’umwana wawe yo gukora umwanda, imirire, n’ubuzima bwe muri rusange.

Mu gihe cy’isuzumwa, umuganga wawe azakora isuzuma ry’umubiri. Ibi birimo kugenzura umubiri w’umwana wawe kugira ngo arebe niba hari ububabare cyangwa ibintu by’umubiri kandi bishobora kuba harimo isuzuma ry’umwanya w’inyuma kugira ngo arebe niba hari umwanda ugafata cyangwa ibindi bibazo.

Ibyinshi mu bibazo ntibikenera ibizamini byihariye. Ariko, niba impamvu z’imihindagurikire mu tuzi zikomeye, zidakira, cyangwa zifatanije n’ibimenyetso bishishikaje, umuganga wawe ashobora kugutegeka gukora ibindi bizamini. Ibi bishobora kuba harimo ibizamini by’amaraso kugira ngo arebe niba hari ibibazo by’ubuzima cyangwa isuzuma ry’ibice by’umubiri kugira ngo arebe igogorwa.

Andika ibintu by’umwana wawe byo gukora umwanda, harimo kenshi akora, uko umeze, n’ibimenyetso byose bijyanye nabyo. Aya makuru afasha umuganga wawe gusobanukirwa uburyo n’uburemere bw’impamvu z’imihindagurikire mu tuzi, bigatuma habaho ubuvuzi bukwiye.

Ubuvuzi bw’impamvu z’imihindagurikire mu tuzi ku bana ni iki?

Ubuvuzi bw’impamvu z’imihindagurikire mu tuzi z’abana busanzwe butangira hakoreshejwe uburyo bworoshye, budakoresha imiti. Abana benshi bagira icyizere mu guhindura imirire no guhindura imikorere mbere yo gukenera imiti.

Ubuvuzi bwa mbere burimo:

• Kwongeza amazi n’ibinyobwa
• Kwongeza ibiryo byuzuyemo amafibe mu biryo n’ibicuruzwa
• Gushishikariza imyitozo ngororamubiri ya buri gihe
• Gushyiraho imikorere ya buri gihe yo kujya mu musarani
• Gukoresha intebe kugira ngo umwana yicare neza mu gihe akora umwanda

Niba guhindura imirire bitafashije mu minsi mike, umuganga wawe ashobora kugutegeka imiti yoroshye yo kuvura impamvu z’imihindagurikire mu tuzi yagenewe abana. Iyi miti ifasha gukora umwanda woroshye kandi woroshye kuwukora. Ibintu bisanzwe birimo polyethylene glycol (MiraLAX) cyangwa lactulose, byombi bifatwa nk’ibikwiye ku bana iyo bikozwe nk’uko byategetswe.

Ku mpamvu z’imihindagurikire mu tuzi zikomeye, abaganga rimwe na rimwe bandika imiti ikomeye cyangwa bagategeka gukoresha enema. Ariko, ubu buvuzi busanzwe bugenewe ibintu aho uburyo bworoshye budakora cyangwa iyo hari ikibazo gikomeye.

Ikintu nyamukuru ni ugukorana n’umuganga wawe kugira ngo umenye uburyo bukwiye ku mwana wawe. Ubuvuzi akenshi burimo guhuza ingamba zikwiye ku byifuzo by’umwana wawe n’uburyo asubiza ibikorwa bitandukanye.

Uko watanga ubuvuzi bw’iwabo mu gihe cy’impamvu z’imihindagurikire mu tuzi ku bana

Ubuvuzi bw’iwabo bugira uruhare rukomeye mu gucunga impamvu z’imihindagurikire mu tuzi z’abana. Ibi bintu ni byiza, bikora, kandi bifasha umwana wawe kugira imyifatire myiza mu gihe kirekire kugira ngo agogorwe neza.

Tangira uhindura imirire. Tanga umwana wawe amazi ahagije umunsi wose, ugerageze kugera kuri 6-8 bicupa ku bana bakuru. Koresha ibiryo byuzuyemo amafibe nka pome, iperesi, berries, ibishyimbo, n’ibinyampeke byuzuye. Prunes na jus ya prunes bikora neza cyane ku bana benshi.

Shyiraho gahunda yo kujya mu musarani ishishikariza gukora umwanda buri gihe. Fasha umwana wawe kwicara mu musarani iminota 5-10 nyuma yo kurya, cyane cyane nyuma ya mu gitondo. Iyi saha ifasha mu mikorere isanzwe y’igogorwa kandi ifasha gushyiraho imyifatire myiza.

Shishikariza imyitozo ngororamubiri binyuze mu mikino, siporo, cyangwa kugenda n’umuryango. Kwimuka bifasha gukora igogorwa kandi bishobora gukumira impamvu z’imihindagurikire mu tuzi kugaruka. Ndetse n’ibikorwa byoroshye nko gusimbuka, kwiruka, cyangwa kugendera kuri velo bishobora kugira ingaruka.

Kora uburyo ubwiherero bumeze neza kandi budatera umuvuduko. Fasha umwana wawe kugira intebe kugira ngo amaguru ye yicare neza, musome ibitabo hamwe mu gihe cyo kujya mu musarani, cyangwa mukine imikino yo gutuza kugira ngo amufashe kuruhuka. Ntuzigere uhutira cyangwa ushyira umwana wawe ku gahato mu gihe cyo kujya mu musarani.

Uko wakwitegura isuzumwa rya muganga

Kwitunganya kugira ngo ubone ubuyobozi bukwiye ku mpamvu z’imihindagurikire mu tuzi z’umwana wawe. Kugira amakuru arambuye bitegura isuzumwa ry’umuganga kandi bigatuma habaho ubuvuzi bukwiye.

Mbere y’isuzumwa ryawe, kugenzura imikorere y’umwana wawe yo gukora umwanda mu gihe cy’icyumweru kimwe. Andika kenshi akora, uko umeze, n’ububabare cyangwa kubabara. Fata amafoto y’umwanda niba bishoboka, kuko ibi biha umuganga wawe amakuru akomeye ku buremere.

Andika imirire isanzwe y’umwana wawe, harimo ibiryo akunda, amazi anywa buri munsi, n’impinduka zose mu mirire ye. Andika kandi urwego rw’imikorere ye, uko aryama, n’ibintu byose by’umuvuduko bishobora gutera iki kibazo.

Tegura urutonde rw’ibibazo ugomba kubabaza umuganga. Ibi bishobora kuba harimo impungenge ku ngaruka z’igihe kirekire, igihe cyo kwitega kunoza, cyangwa uko wakwirinda ibibazo mu gihe kizaza. Ntugatinye kubabaza ikintu cyose gikubabaza.

Zana urutonde rw’imiti cyangwa ibinyobwa byose umwana wawe afata, harimo vitamine. Imiti imwe ishobora gutera impamvu z’imihindagurikire mu tuzi, kandi umuganga wawe akeneye aya makuru kugira ngo atange inama zikwiye.

Icyo ukwiye kumenya cy’ingenzi ku mpamvu z’imihindagurikire mu tuzi ku bana

Impamvu z’imihindagurikire mu tuzi ku bana ni ikintu gisanzwe kandi gishobora kuvurwa hakoreshejwe impinduka zoroheje mu mirire no mu mikorere. Ibibazo byinshi bikira mu minsi mike cyangwa mu cyumweru hakoreshejwe ubuvuzi bw’iwabo, kandi ibibazo bikomeye ni bike.

Ikintu gikomeye cyo kwibuka ni uko nturi wenyine mu guhangana n’iki kibazo. Buri mubyeyi hafi ya bose ahura n’impamvu z’imihindagurikire mu tuzi z’abana mu gihe runaka, kandi umuganga wawe ariho kugufasha kuyobora mu kwirinda no kuvura.

Fata ingamba zo gushyiraho imikorere myiza ya buri munsi aho guhangayikishwa n’ibibazo by’impamvu z’imihindagurikire mu tuzi. Kunywa amazi buri gihe, ibiryo byuzuyemo amafibe, imyitozo ngororamubiri, n’imyitwarire ya buri gihe yo kujya mu musarani bigira uruhare mu kugira ubuzima bwiza bw’igogorwa ku bana.

Gira icyizere cy’ibyo wumva ku gihe cyo gusaba ubufasha bw’abaganga, ariko wibuke ko impamvu z’imihindagurikire mu tuzi zikunze kuba igihe gito kandi zikira hakoreshejwe uburyo bworoshye. Ufatanyije n’ubwitonzi n’ubuhangane, ushobora gufasha umwana wawe kugira imyifatire myiza yo gukora umwanda mu iterambere rye.

Ibibazo bikunze kubazwa ku mpamvu z’imihindagurikire mu tuzi ku bana

Umwana ashobora kumara igihe kingana iki adakora umwanda mbere y’uko biba ikibazo?

Abana benshi bagomba gukora umwanda nibura buri minsi itatu. Niba umwana wawe atarakora umwanda mu gihe kirekire kurusha icyumweru kimwe, cyangwa asa n’aho atabyishimiye cyangwa afite ububabare, ni igihe cyo kuvugana n’umuganga wawe. Ariko, buri mwana ni umuntu ku giti cye, bityo shyira umutima ku mpinduka z’imikorere isanzwe aho kuba ku gihe gishikama.

Gutanga amafibe menshi ku mwana wanjye bishobora gutuma impamvu z’imihindagurikire mu tuzi zirushaho kuba kibi?

Yego, kongera amafibe vuba cyangwa udatanze amazi ahagije bishobora gutuma impamvu z’imihindagurikire mu tuzi zirushaho kuba kibi. Ongera amafibe buhoro buhoro mu minsi mike kandi ube maso umwana wawe anywa amazi ahagije. Tangira ufate ibiryo bike byuzuyemo amafibe kandi urebe uko umwana wawe asubiza mbere yo kongera.

Ni byiza gutanga imiti y’abakuze cyangwa imiti yo koroshya umwanda ku mwana wanjye?

Oya, ntugahe umwana wawe imiti y’abakuze utabanje kuvugana n’umuganga wawe. Abana bakenera umwanya n’uburyo butandukanye n’abakuze. Imiti myinshi y’abakuze ishobora kuba ikomeye kandi ikaba itera kukama cyangwa ibindi bibazo ku bana. Koresha imiti yagenewe abana kandi ukore nk’uko muganga wawe yabigutegetse.

Umuntu wanjye watojwe kujya mu musarani yatangiye gukora impanuka - ibi bishobora kuba bifitanye isano n’impamvu z’imihindagurikire mu tuzi?

Yego, impamvu z’imihindagurikire mu tuzi zishobora gutera impanuka ku bana batojwe kujya mu musarani. Iyo umwanya w’inyuma wuzuye umwanda ukomeye, umwanda mwinshi ushobora kutemba, bigatuma habaho icyo abaganga bita “overflow incontinence.” Ibi ntabwo ari amakosa y’umwana wawe kandi bisanzwe bikira iyo impamvu z’imihindagurikire mu tuzi zivuwe. Vugana n’umuganga wawe ku buryo bukwiye kuri iki kibazo.

Ndagomba guhangayika niba mbona amaraso mu gihe umwana wanjye akora umwanda?

Amaraso make y’umutuku ku mpapuro zo mu musarani cyangwa ku muwanda akenshi aturuka ku bikomere bito (anal fissures) biterwa no gukora umwanda ukomeye. Nubwo akenshi atari ikintu gikomeye, amaraso agomba buri gihe kurebwa na muganga wawe. Bashobora kumenya niba bituruka ku kubabara gake cyangwa niba hari ubuvuzi bundi bukenewe kugira ngo birindwe ibibazo.