Uyini i-Encopresis? Izimpawu, Izimbangela, Nokwelashwa

I-Encopresis yilapho ingane eseselokhu iziqeqeshiwe ukuya eceleni iqhubeka nokwenza izinto ezingcolile ezingxenyeni zayo zomzimba noma ezindaweni ezingafaneleki. Lokhu kwenzeka ngoba izinto ezingcolile ziqala ukubambelela esibindini, bese izinto ezingcolile ezinwetshiwe zikhishwa ngaphandle kwaleyo blockage.

Lesi simo sihlupha cishe i-1-3% yezingane, ngokuvamile phakathi kweminyaka engu-4 nengu-12. Akukhona okuthile ingane yakho elikwenzayo ngamabomu, futhi ngokuqinisekile akuyona uphawu lwezinkinga zokuziphatha noma ukukhuliswa okubi.

Uyini i-Encopresis?

I-Encopresis ivela lapho izingane ezisezelokhu ziqeqeshwe ukuya eceleni okungenani izinyanga ezine ziqala ukuba nezinkinga zokwenza izinto ezingcolile njalo. Igama lezokwelapha lichaza kokubili isimo nesinkinga esiyimbangela yaso.

Cabanga ngakho njengesiyaluyalu emizileni yengane yakho. Lapho izinto ezingcolile ziqala ukubambelela futhi ziqine, kwenza i-blockage. Izinto ezingcolile ezintsha, ezithambile zikhishwa ngaphandle kwale blockage, okuholela ezinkingeni ingane yakho engenakuzilawula.

Kunezinhlobo ezimbili eziyinhloko. I-Encopresis ehlala ikhona ivela lapho izingane zibamba izinto ezingcolile, okuholela ekubambekeni nasekuqothulweni okukhulu. I-Encopresis engalali ikhona ayivamile futhi ivela ngaphandle kokubambeka, ngokuvamile kuhlobene nezinkinga zokuziphatha noma zokuthuthuka.

Ziyini Izimpawu ze-Encopresis?

Uphawu olucacile kakhulu ukuthola izinto ezingcolile ezingxenyeni zengane yakho zomzimba noma ezindaweni ezingafaneleki. Noma kunjalo, ezinye izimpawu zivame ukuvela kanye nalezi zinkinga.

Nazi izimpawu ezivamile okufanele uzibheke:

• Ukuqhubeka nokwenza izinto ezingcolile ezingxenyeni zomzimba ngezinto ezingcolile ezincane
• Izinto ezingcolile ezinkulu, eziqine ezingase zivalele ithoyilethi
• Ubuhlungu besisu noma ukubamba isisu
• Ukwehluleka ukudla
• Ukutheleleka okuphindaphindayo kwe-urinary tract
• Ukugwema ukwenza izinto ezingcolile noma ukubonisa ukwesaba ukusebenzisa ithoyilethi
• Ukuziphatha okuyimfihlo ngezindlela zokusebenzisa igumbi lokugezela

Ungase futhi uqaphele ingane yakho ibukeka ingaqapheli iphunga noma ibukeka ingakhathazeki ngezinto ezingcolile ezingxenyeni zayo zomzimba. Lokhu kwenzeka ngoba ukuvezwa njalo ephungwini kunciphisa ikhono labo lokuqaphela.

Ezinye izingane zihlupheka nezinguquko zokuziphatha. Zingase ziqale ukuthuka, zikhathazeke, noma ziphulukane nokuzethemba. Lezi zimpendulo zomzwelo ziyaqondakala ngokuphelele uma kubhekwa ubuhlungu besimo.

Ziyini Izinhlobo ze-Encopresis?

Odokotela bahlukanisa i-encopresis zibe izinhlobo ezimbili eziyinhloko ngokusekelwe kulokho okubangela inkinga. Ukuqonda ukuthi iyiphi inhlobo ingane yakho enayo kusiza ekutholeni indlela yokwelapha engcono kakhulu.

I-Encopresis ehlala ikhona yilona uhlobo oluvamile kakhulu, oluhlupha cishe i-95% yezingane ezinesimo. Ivela lapho ingane yakho ihlala ibamba izinto ezingcolile, okuholela ekubambekeni okungapheli nokuqothulwa okukhulu.

I-Encopresis engalali ikhona ayivamile kakhulu futhi ivela ngaphandle kokubambeka okungaphansi. Izingane ezilolu hlobo zingase zibe nokulibaziseka kokuthuthuka, izinkinga zokuziphatha, noma azikwazanga ukufunda ngokuphelele amakhono okuya eceleni.

Udokotela wakho uzokunquma ukuthi iyiphi inhlobo ngokuhlolwa komzimba nomlando wezokwelapha. Le nhlukaniso ibalulekile ngoba izindlela zokwelapha zihluke kakhulu phakathi kwezinhlobo ezimbili.

Yini Ebangela i-Encopresis?

I-Encopresis ngokuvamile ivela lapho izingane zigwema ukwenza izinto ezingcolile ngezizathu ezahlukene. Lokhu kugwema kuholela kwesikhathi eside sokubambeka nokulahlekelwa kokulawula izinto ezingcolile.

Izinto eziningi zingase ziqalise lesi simo sokugcina izinto ezingcolile:

• Ubuhlungu bokwenza izinto ezingcolile ngenxa yokubambeka noma ukubola kwe-anal fissures
• Izinto ezikhathazayo ekuphileni njengokuhamba, ukuhlukana, noma ukuqala esikoleni
• Izingxabano zamandla ngokuqeqeshwa ukuya eceleni
• Ukwesaba ukusebenzisa izindlu zangasese ezingajwayelekile
• Ukuba matasa kakhulu ukudlala ukuze uthathe isikhathi sokuya eceleni
• Ukushintsha kokudla noma ukungena okwanele kwefayibha
• Imithi ethile ehambisa izinto ezingcolile

Kwezinye izikhathi, izimo zezokwelapha zingase zifake isandla e-encopresis. Lokhu kuhlanganisa i-spina bifida, i-cerebral palsy, noma ezinye izifo zezinzwa ezihlupha ukulawula izinto ezingcolile.

Ngezinye izikhathi isizathu asiqondakali ngokushesha. Lokho okuqala njengokubamba okungekho njalo kungase kube yinkinga yomzimba njengoba i-rectum ihlala ikhula futhi ilahlekelwa ubuhlungu bokwenza izinto ezingcolile.

Nini Okufanele Ubone Udokotela Nge-Encopresis?

Kufanele uxhumane nodokotela wezingane yakho uma izingane ezisezelokhu ziqeqeshwe ukuya eceleni ziqala ukuba nezinkinga zokwenza izinto ezingcolile njalo. Ukungenelela kwasekuqaleni kungavimbela isimo ukuba singabi sibi kakhulu futhi sibe buhlungu ngokomzwelo.

Funani ukunakekelwa kwezokwelapha ngokushesha uma ingane yakho ibonisa lezi zibonakaliso zexwayiso:

• Ukwenza izinto ezingcolile okwenzeka izikhathi eziningi ngesonto
• Izinto ezingcolile eziqine, ezinkulu eziholela ebuhlungwini noma ekuphuleni igazi
• Ubuhlungu besisu noma ukukhula kwesisu
• Ukwehluleka ukudla noma ukulahlekelwa isisindo
• Ukuqabuka kanye nokubambeka
• Ukushintsha kokuziphatha noma ubuhlungu bomzwelo

Ungalindi ukubona uma inkinga izoxazulula yodwa. I-Encopresis ayilulami ngaphandle kokwelashwa okufanele kwezokwelapha futhi ingase ibe sibi ngokuhamba kwesikhathi uma ingalashwa.

Khumbula, lokhu akuyona into ebonisa indlela yokukhulisa noma ubuntu lengane yakho. Kuyisimo sezokwelapha esiphendula kahle ekwelapheni okufanele uma siphathwa ngokushesha.

Ziyini Izinto Ezifaka Ingane Yakho Engozini Ye-Encopresis?

Izinto ezithile zingase zikhulise amathuba engane yakho okuba ne-encopresis. Ukuqonda lezi zinto ezifaka ingane yakho engozini kungakusiza uthathe izinyathelo zokuvimbela futhi uqaphele izibonakaliso zexwayiso kwasekuqaleni.

Abafana bahlushwa kakhulu kunamantombazane, isimo sihlupha izikhathi eziyisithupha ngaphezulu kubafana. Isizathu sale nhlukaniso yobudoda asiqondakali ngokuphelele ochwepheshe bezokwelapha.

Lezi zinto zingase zikhulise ingozi yengane yakho:

• Umlando wokubambeka okungapheli
• Izinto ezikhathazayo ekuphileni noma ukushintsha okukhulu
• I-Attention deficit hyperactivity disorder (ADHD)
• Ukulibaziseka kokuthuthuka noma ukuntuleka kwamandla okufunda
• Umlando womndeni wezinkinga zesibindini
• Ukungenelela okwanele kwefayibha ekudleni
• Ukungenelela okwanele kwamanzi
• Ukungenelela okwanele kwemisebenzi yomzimba

Izingane ezinezimo ezithile zezokwelapha zibhekene nezingozi eziphezulu. Lokhu kuhlanganisa izifo zezinzwa, ukungapheleli komgogodla, noma izimo ezihlupha amandla emisipha nokuhlanganiswa.

Ukuba nezinto ezifaka ingane yakho engozini akusho ukuthi ingane yakho izoba ne-encopresis. Izingane eziningi ezinezinto ezifaka ingane engozini azilutholi lesi simo, kanti ezinye ezingenazo izinto ezicacile ezifaka ingane engozini zingase zibe nalesi simo.

Ziyini Izingozi Ezingase Zivele Nge-Encopresis?

Nakuba i-encopresis ngokwayo ingabi yingozi, ingase iholele ezingozini eziningi ezihlupha impilo yengane yakho ngokomzimba nangokomzwelo. Lezi zingozi zibonisa ukuthi kungani ukwelashwa okusheshayo kubalulekile kangaka.

Izingozi ezivamile kakhulu zihlanganisa:

• Ukutheleleka okuphindaphindayo kwe-urinary tract
• Ukubambeka okukhulu okunzima ukwelapha
• I-anal fissures noma ukubola ngenxa yezinto ezingcolile eziqine
• Ubuhlungu besisu obuhlala bukhona
• Ukwehluleka ukudla nokuntuleka kokudla okungenele
• Ukuhlukaniswa komphakathi nokuhlupheka
• Ukuzethemba okuphansi nezinkinga zokuziphatha
• Ukuhlupheka komndeni nokungqubuzana

Izingozi ezimbi kodwa ezingavamile zingase zenzeke uma ukubambeka okukhulu kungalashwa. Lokhu kuhlanganisa ukuphahlazeka kwesibindini noma isimo esibizwa ngokuthi i-megacolon, lapho i-colon ikhula ngokungavamile.

Umphumela womzwelo ngokuvamile uba nzima kakhulu emindenini. Izingane zingase ziqale ukuthuka emisebenzini yomphakathi, zihlupheke ekufundeni, noma zibe nokukhathazeka ngokusebenzisa igumbi lokugezela.

Ngokwelashwa okufanele, lezi zingozi zingavikelwa noma zixazululwe. Ukungenelela kwasekuqaleni kunika ingane yakho ithuba elihle kakhulu lokuphulukisa ngokuphelele ngaphandle kwemiphumela ehlala njalo.

I-Encopresis Ingavikelwa Kanjani?

Nakuba ungakwazi ukuvimbela zonke izimo ze-encopresis, izindlela eziningi zinganciphisa kakhulu ingozi yengane yakho. Lezi zindlela zokuvimbela zigxile ekutholeni imikhuba enempilo yesibindini nokuphatha izinkinga kwasekuqaleni.

Qala ngokumisa imikhuba yokuya eceleni njalo. Khuthaza ingane yakho ukuthi ihlale ethoyilethini ngezikhathi ezifanayo nsuku zonke, ikakhulukazi ngemva kokudla lapho isifiso sokwenza izinto ezingcolile siqine kakhulu.

Izindlela eziyinhloko zokuvimbela zihlanganisa:

• Ukupha ukudla okunefayibha eningi okunemithombo eminingi yemifino nemifino
• Ukuqinisekisa ukuthi kunamanzi anele usuku lonke
• Ukuqhubela phambili imisebenzi yomzimba njalo
• Ukudala indawo yokuya eceleni enhle, engakhathazi
• Ukuphatha ukubambeka ngokushesha uma kwenzeka
• Ukugwema izingxabano zamandla ngokuqeqeshwa ukuya eceleni
• Ukufundisa amakhono afanele okuhlanza

Qaphela imikhuba yengane yakho yokuya eceleni nesimo sayo somzwelo. Uma uqaphela izimpawu zokubambeka noma ukungathandi ukusebenzisa ithoyilethi, phathani lezi zinkinga ngaphambi kokuba zibe yizinkinga ezinkulu.

Phakathi nemicimbi ephazamisayo ekuphileni, yenza usizo olwengeziwe futhi ugcine imikhuba eqondile. Lokhu kusiza ekugwemeni ukuziphatha kokugwema ukuya eceleni okungase kuholele e-encopresis.

I-Encopresis Ihlonishwa Kanjani?

Odokotela bahlonishwa i-encopresis ikakhulukazi ngomlando wezokwelapha nokuhlolwa komzimba. Udokotela wakho wezingane uzokubuza imibuzo eminingi mayelana nezimpawu zengane yakho, imikhuba yesibindini, nanoma yiziphi izinguquko zakamuva ekuziphatheni noma emikhubeni.

Inqubo yokuhlola ngokuvamile ihlanganisa izinyathelo eziningi. Okokuqala, udokotela wakho uzokwenza ukuhlolwa komzimba, kuhlanganise nokuhlola isisu sengane yakho ngezinto ezingcolile eziqokelelekile nokuhlola indawo ye-anal ngokubola noma ezinye izinto ezingavamile.

Udokotela wakho angase anqume ukuhlola okwengeziwe kwezinye izimo:

• I-X-ray yesisu ukuhlola ukubambeka kwezinto ezingcolile
• Ukuhlolwa kwegazi ukuqeda izimo ezingaphansi
• Ngokungavamile, ukuhlolwa okukhethekile njenge-anorectal manometry

Izingane eziningi azidingi ukuhlolwa okuningi. Ukuhlonishwa ngokuvamile kucace ngomlando nokuhlolwa komzimba kuphela.

Udokotela wakho uzohlola futhi ukuthi lokhu kuyi-retentive noma i-non-retentive encopresis. Le nhlukaniso iholela ekucwaningeni kokwelapha futhi ikusiza ukubikezela ukuthi ingane yakho izophendula kanjani ekwelapheni.

Lungela ukuxoxa ngokudla kwengane yakho, amazinga okucindezeleka, nomlando wokufunda ukuya eceleni. Lolu lwazi lusiza udokotela wakho ukuqonda izimbangela ezingaphansi futhi enze uhlelo lokwelapha oluphumelelayo.

Luyini Ukwelashwa kwe-Encopresis?

Ukwelashwa kwe-encopresis ngokuvamile kuhlanganisa indlela enezigaba ezintathu ehlanganisa inkinga ngokushesha, yenza imikhuba enempilo, futhi inikeze ukusekela okuqhubekayo. Izingane eziningi ziphendula kahle ekwelapheni, nakuba kungase kudingeke izinyanga eziningi ukubona ukuthuthuka okuphelele.

Isigaba sokuqala sigxile ekuhlanzweni kwezinto ezingcolile eziqokelelekile. Udokotela wakho angase akukhuthaze ukusebenzisa imithi yokwelapha, ama-suppositories, noma ama-enemas ukususa i-blockage ngokuphepha nangokuphumelelayo.

Izingxenye zokwelapha ngokuvamile zihlanganisa:

• Imithi yokwenza izinto ezingcolile zibe zithambile nokuvimbela ukubambeka
• Izikhathi zokuhlala ethoyilethini ezimisiwe, ikakhulukazi ngemva kokudla
• Ukushintsha kokudla ukwandisa ifayibha nokungenelela kwamanzi
• Ukushintsha kokuziphatha nokuqiniswa okuhle
• Imfundo yomndeni nokwesekwa
• Ngezinye izikhathi ukwelashwa ukuqondisa izici zomzwelo

Isigaba sokugcina sihlanganisa ukuvimbela ukubambeka kwesikhathi eside ngokusebenzisa imithi eqhubekayo, ukushintsha kokudla, nezimikhuba yokuya eceleni njalo. Lesi sigaba ngokuvamile sihlala izinyanga eziningi ukuvumela i-rectum ukuba ibuye esimeni sayo esivamile nobuhlungu.

Ezinye izingane zingase zidinga usizo olwengeziwe ochwepheshe bezempilo yengqondo, ikakhulukazi uma kunezingqinamba zokuziphatha ezingaphansi noma ubuhlungu bomzwelo obukhulu obuhambisana nesimo.

Impumelelo yokwelapha ixhomeke ekuqinisweni nasekubekezela komndeni wonke. Izingane eziningi zifinyelela ekuxazululeni okuphelele ngokwelashwa okufanele, nakuba ezinye zingase zibe nezinkinga ngezikhathi ezithile phakathi nenqubo yokuphulukisa.

Indlela Yokunikeza Ukwelashwa Ekhaya Phakathi ne-Encopresis?

Ukuphathwa ekhaya kudlala indima ebalulekile ekwelapheni i-encopresis ngempumelelo. Ukusekela kwakho okuqhubekayo nokubekezela kuzosiza ingane yakho ukuba inqobe lesi simo esinzima ngokushesha.

Dala indawo ethule, enesekelo ngezikhathi zokuya eceleni. Gwema ukubonisa ukukhathazeka noma ukudumala lapho kwenzeka izinkinga, njengoba lokhu kungase kube sibi inkinga futhi konakalise ukuzethemba kwengane yakho.

Izindlela ezisebenzayo zasekhaya zihlanganisa:

• Ukumisa izikhathi zokuya eceleni njalo, ikakhulukazi imizuzu engu-15-30 ngemva kokudla
• Ukupha isihlalo esincane ukuze izinyawo zengane yakho zithinte okuthile ngenkathi ihleli
• Ukugcina izingubo ezingeziwe nezinto zokuhlanza zitholakala kalula
• Ukubonga ngokusebenzisa ithoyilethi ngempumelelo ngaphandle kokugxila ezinkingeni
• Ukugcina imithi njengoba kunqunyiwe udokotela wakho
• Ukupha ukudla okunefayibha eningi nokukhuthaza ukungenelela kwamanzi anele
• Ukulinganisela imikhiqizo yobisi uma kubonakala sengathi iholela ekubambekeni

Phathani izinkinga ngendlela eqondile. Yenza ingane yakho isize ekuhlanzweni ngendlela efanele iminyaka yayo, kodwa ungayenzi kube yisijeziso. Lokhu kufundisa umthwalo wemfanelo ngenkathi ugwema ihlazo.

Gcina idayari elula yezinto ezingcolile, izinkinga, nokungenelela kokudla. Lolu lwazi lusiza udokotela wakho ukulungisa ukwelapha nokubona izimo ezingase zifake isandla enkingeni.

Khumbula ukuthi ukuthuthuka kudinga isikhathi. Izingane eziningi zidinga izinyanga eziningi zokwelashwa okuqhubekayo ngaphambi kokubona ukuthuthuka okukhulu, ngakho-ke ukuzeka kade kuyadingeka ukuze kuphumelele.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela ukuya kwakho kudoctor kusiza ukuqinisekisa ukuthi uthola ulwazi oluwusizo kakhulu nezincomo zokwelapha. Ukuqoqa imininingwane ecacile mayelana nezimpawu zengane yakho nezimikhuba kuzoholela ekulinganisweni kudoctor wakho.

Ngaphambi kokubuka kwakho, landela izinto ezingcolile zengane yakho nezinkinga okungenani isonto elilodwa. Qaphela ubukhulu, ukuqina, nanoma yiziphi izimo oziqaphelayo.

Letha lolu lwazi ekuhlanganyeleni kwakho:

• Lapho izinkinga zokuqala zokuqala zaqala
• Ubukhulu bezinkinga
• Ubukhulu bezinto ezingcolile zengane yakho
• Noma yiziphi izinguquko zakamuva ekudleni, emikhubeni, noma emazingeni okucindezeleka
• Imithi yamanje noma izongezo
• Ukwelashwa okudlule okuye kwazama
• Impendulo yengane yakho ngokomzwelo ezinkingeni

Bhala imibuzo ofuna ukuyibuza udokotela wakho. Ukukhathazeka okuvamile kuhlanganisa isikhathi sokwelashwa, imiphumela emibi yemithi, nokuthi nini okufanele ulinde ukuthuthuka.

Cabanga ukuletha ingane yakho ekuhlanganyeleni uma isekhulile ngokwanele ukuze ihlanganyele. Lokhu kuyisiza ukuqonda ukuthi i-encopresis iyisimo sezokwelapha nokuthi usebenzisana ukulixazulula.

Yiba eqotho nganoma yiziphi izinselele obhekene nazo ekhaya. Udokotela wakho anganikeza amasu alwengeziwe nezinto zokusekela ukusisiza umndeni wakho ngalesi sikhathi esinzima.

Iyini into ebaluleke kakhulu nge-Encopresis?

I-Encopresis iyisimo sezokwelapha esingelashwa esithinta izingane eziningi nemindeni. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ingane yakho ayikwenzi lokhu ngamabomu, futhi akuyona into ebonisa amakhono akho okukhulisa.

Ngokwelashwa okufanele kwezokwelapha nokwesekwa komndeni, iningi lezingane liqeda i-encopresis ngokuphelele. Ukwelashwa ngokuvamile kudinga izinyanga eziningi, kodwa imindeni eminingi ibona ukuthuthuka kancane ngendlela.

Ukuphumelela kuyinto ebaluleke kakhulu, ukuqina, nokuqhubeka nokusekela okuhle. Gwema isijeziso noma ihlazo, njengoba le miphumela emibi ingase ibe sibi isimo futhi yonakalise ukuzethemba kwengane yakho.

Ukungenelela kwasekuqaleni kuholela kwimiphumela emihle, ngakho-ke ungangabazi ukufuna usizo lwezokwelapha uma uqaphela izimpawu ze-encopresis. Udokotela wezingane yakho anganikeza izinketho zokwelapha ezisebenzayo futhi asekele umndeni wakho phakathi nenqubo yokuphulukisa.

Khumbula ukuthi lesi simo sesikhashana. Ngokuhamba kwesikhathi, ukwelashwa, nokwesekwa kwakho kothando, ingane yakho izophinde ilawule izinto ezingcolile ngokujwayelekile futhi ibe nokuzethemba.

Imibuzo Evamile Ebuzwayo Nge-Encopresis

Q1: Ingane yami iyenza lokhu ngamabomu?

Cha, izingane ezine-encopresis azizihlanzi ngamabomu. Isimo sihlanganisa ukulahlekelwa kokulawula izinto ezingcolile ngenxa yokubambeka okungapheli nokuqokelela kwezinto ezingcolile. Ingane yakho cishe izizwa ihlaziswa futhi ikhathazekile ngezinkinga, njengoba wena ukhona.

Q2: Ukwelashwa kwe-encopresis kudinga isikhathi esingakanani?

Ukwelashwa ngokuvamile kudinga izinyanga eziyi-6-12, nakuba ezinye izingane ziphulukana ngokushesha kanti ezinye zidinga isikhathi eside. Isikhathi sixhomeke ekutheni ukubambeka kukhulu kangakanani, isikhathi eside inkinga ibilokho, nokuthi ukwelashwa kulandelelwa ngokuqhubekayo kangakanani. Imindeni eminingi ibona ukuthuthuka okukodwa phakathi kwezinyanga ezimbalwa zokuqala.

Q3: Ingane yami izophuma e-encopresis ngaphandle kokwelashwa?

I-Encopresis ayilulami yodwa futhi ngokuvamile iba sibi ngaphandle kokwelashwa okufanele. Isikhathi eside iqhubeka, kuba nzima kakhulu ukwelapha futhi umphumela womzwelo kwengane yakho ukhulu. Ukungenelela kwezokwelapha kwasekuqaleni kuholela kwimiphumela emihle kakhulu.

Q4: I-Encopresis ingabangela umonakalo ohlala njalo?

Ngokwelashwa okufanele, i-encopresis ngokuvamile iphela ngokuphelele ngaphandle kwemiphumela yomzimba ehlala njalo. Noma kunjalo, izimo ezingalashwanga zingase ziholele ekubambekeni okungapheli, ukutheleleka okuphindaphindayo, nezinkinga zomzwelo ezinkulu. Into ebaluleke kakhulu ukufuna ukunakekelwa kwezokwelapha ngokushesha.

Q5: Kufanele ngijezise ingane yami ngezinkinga?

Ungalokothi ujezise ingane ngezinkinga ze-encopresis. Isijeziso singase sibe sibi isimo ngokwandisa ukucindezeleka nehlazo. Esikhundleni salokho, phendula ngokuthula, hlanganyela ingane yakho ekuhlanzweni okufanele iminyaka yayo, futhi ugxile ekuqinisweni okuhle ngokusebenzisa ithoyilethi ngempumelelo nokulandelwa kohlelo lokwelapha.