Kuvharwa kwemazuva ose kunowanzogadziriswa mucheche
Kuvhara idambudziko rinowanzoitirwa vana vaduku nevana uye ndicho chikonzero chekuita zvitatu zvekushanyira vanachiremba. Chii chaunoda kuziva uye kuti zvii zvirwere zviripo?
Tsanangudzo
Kuvharirwa kunowanzorondedzerwa sekuve nekusafuridzirwa kwechirwere chemafuro akaoma uye anorwadza. Izvi zvinowanzoitika kune vakwegura nevakuru, asi tsanangudzo yakasiyana zvakanyanya nevana.
Vana vacheche vanoshungurudzika kana vanogomera kana vane chikwama chemuviri havakwanisi kubviswa kana chigaro chavo chiri nyore, kunyange kana vakangova nechingwa chemafuro mazuva maviri kana matatu. Zvakakoshawo kuyeuka kuti vana vaduku vanongobatwa necheche chete vane musangano wekudzivirira kamwechete kwevhiki kana maviri.
Kunyange zvazvo kune zvimwe zvirwere zvekurapa, zvakadai seHirschsprung's disease, cystic fibrosis, uye hypothyroidism, vana vakawanda vanozvimirira vari muhutano hwakanaka. Zviratidzo zvinogona kuratidza kuti chinetso chakakomba chiripo chinosanganisira kurutsira, kuora muviri, kushaya uremu hunofu, fivha, kusungwa kwepamuviri, kuva nechido chakashata, kana kuti kunyanya kubviswa kubva pakuberekwa.
Zvinokonzera
Chimwe chezvinhu zvinovhiringidza vabereki chiri kuedza kunzwisisa zvinokonzera kuvimbiswa kwevana vavo. Kunyange zvazvo vamwe vabereki vanonzwisisa basa iro mukaka wakawanda wemhou, kudya kwakaderera mu fiber , uye kusanwa mvura yakakwana kunobatsira pakuzvimirira, vangave nevamwe vana vane kudya kumwechetevo vasina kuvharwa.
Mukuwedzera pane kudya kwemwana wako, chimwe chinhu chinokosha chinokonzera kuvhara muviri kunenge kusina kufanana kwekufamba kwechirwere. Izvi zvinowanzoitika mushure mekunge mwana ave nehombe huru, yakaoma uye inorwadza. Nemhaka yokuti angave akabatana nekufamba kwepamuviri nemarwadzo mushure mekunge akazoitika, achaedza kubata zvigaro zvake.
Izvi zvinomutsa kushungurudza kunotyisa uko kufamba kwechirwere kunorwadza, saka anovabata, achiita kuti zvibato zvive zvakakura uye zvakaoma, zvinokonzera marwadzo akawanda apo inopedzisira yapfuura.
Vabereki vakawanda vanokanganisa maitiro avanoita vana kuti vagare muchitsiko sechisimbirira kuti ave nechirwere chechirwere, asi kazhinji, ivo vari kunyanya kuomesa mitsipa yavo kana kuti kuedza sechiedza chekubata chigaro chavo uye nekudzivisa kufamba kunorwadza kwemvere.
Chimwe chikonzero chinowanzokonzirwa uye kuvhiringidzika kwechigaro chiri kushaya ruzivo rwakawanda nekudzidzira mvura .
Kunyanya kuwanikwa kunowanzowanika kune vana vane zvinodiwa zvakasiyana , zvakadai sepina bifida, Down syndrome, uye cerebral palsy, uye inogona kuva nemigumisiro yechirwere yemishonga yakawanda.
Mishonga
Vacheche vaduku nevana vachangoberekwa nekumbirwa vanofanira kunyatsoongororwa nevana vavo. Kudya zvakashata kunogona kukonzera kupera simba uye kuvhiringidzika, saka kuongororwa kwekudya kwechecheche yako uye kuve nechokwadi chokuti ari kuwedzera kuwanda zvinokosha.
Uyewo, yeuka kuti vacheche avo vanongoberekwa nechembera havasati vadzivirirwa. Kusapindira kwehutano hwemhumbu hakurevi kuvimbiswa kana zvipfeko zvomwana wako zviri nyore apo iye pakupedzisira apfuura imwe.
Kana mukomana wako mukuru akadzivirirwa, kurapwa kwokutanga kunowanzobatanidza kuvapa mvura yakawedzerwa kana kusadyiwa, 100-percent muchero wezvibereko kamwe chete kana kaviri pazuva.
Chirwere chakajairika chinoshandiswa nevabereki chiri kuwedzera Karo sirasi kana imwe svondo kana yerima macrops kumabheche echecheche. Kunyange zvazvo izvi zvinowanzoodzwa mwoyo nekuda kwehutano hwepfungwa dze botulism, American Academy of Pediatrics inoshuma kuti zvakachengeteka kuita. Kana uchipa fomu, kuchinja kune imwe yega yega inogonawo dzimwe nguva kuva yakakosha, chero bedzi mwana wako asina chekudya.
Mishonga inoshandiswa kubata vana vaduku nevana vane kuvhiringidzika kazhinji kunowanikwa kune Colace, maltsupex, lactulose, uye kushandiswa kwese kweglycerin suppository.
Zvirwere Zvokudya Zvokudzivirira
Chinangwa chikuru pakurapa kuvhiringidzika ndekwekuti mwana wako ave nekufamba kwechingwa chemazuva ose.
Imwe yenzira huru dzekudzivirira nekurapa kuvimbiswa ndeyokushandura kudya kwevana vako. Izvi zvinosanganisira kuderedza kudya kunodzivirira, kusanganisira mukaka wemhou, bhanana, yogurt, jisi, karoti yakagadzirwa, uye zvimwe zvokudya zvinenge zvisinganyanyi kuwanda. Kune vakwegura nevana vaduku vanonwa mukaka wakawanda wemukaka, mukaka wakaora mafuta uye mukaka wa soy mishonga yakanaka, sezvo ivo kazhinji kazhinji kudzvinyirira kupfuura mukaka wose wemhou.
Chimwe chinhu chinokosha chekudya kwekudya chiri kukura chiyero che fiber muzvokudya zvemwana wako. Ikozvino fiber kukurudziro inotaura kuti vana vanofanira kuwana inenge 14g ye fiber kune chiuru chimwechete makori inodya.
Zvinogona kubatsira kuti udzidze kuverenga mabhii ezvokudya kuti usarudze zvokudya zvakaderera zvine mafuta zvakanyanya . Zvibereko nemiriwo , kunyanya kana zvakasvibiswa uye zvisingaverengeki, zvakanaka. Miti yakanyanya kunyanya mufibhati inosanganisira nyemba dzakadai semafuta, navy, pinto uye lima mazai, mbatata, mapepa, miriwo yemafuta, uye mbatata yakasvibirira.
Zvimwe zvekudya zvakakosha kune vana vane kuvhiringidza zvinosanganisira mishonga yemaspine (zvakawanda zve fiber uye yakawedzera mvura) uye popcorn. Bhandi yakawanda inogonawo kubatsira, kusanganisira zviyo zvegorosi, bran muffin, shredded gorosi, zviyo zvinokonzera graham, uye chingwa chegorosi rose .
Zvakakoshawo kuwedzera muwandu wemvura iyo mwana wako ari kunwa. Anofanirwa kuva nechetatu chemagetsi emvura uye rimwe jisi rezvibereko zuva rega rega. Apple, pear, uye prune juice, kana mamwe majisi akakwirira mu sorbitol, dzakasarudzwa zvakanaka, chero bedzi dzave pasteurized uye 100 muzana jisi rezvibereko, kwete chibereko chinwiwa.
Kurapa Kurapa
Kudya kwezvokudya kunotora nguva kuti ibudirire, uye kusvikira vaita, mwana wako angangove achida kuva pachigadziro chechigaro. Iyi mishonga inowanzoshandiswa kwenguva yakareba sechirongwa chekuchengetedza uye inofungidzirwa yakachengeteka, inoshanda uye isiri tsika yekuumba kana kuvhiringidza. Iwe unofanirwa, zvisinei, udzivise kushandiswa kusingagumi kwezvipembenene zvinokurudzira, zvakadai seBisacodyl, ExLax kana mafuta epamba. Chimwe chinonzi osmotic laxative, chinoshanda kuburikidza nekuwedzera mvura yakawanda mumakolon kuti kuderedze chigaro, kazhinji kachengeteka kwekushandisa kwenguva refu.
Kazhinji kushandiswa kugadzirisa kurapa kwevana vaduku kunosanganisira:
- Polyethylene glycol (Miralax): Miralax inhu husina kunakidza uye isina kunakidza inogona kusanganiswa nemvura uye iyo yava kutowanikwa pane-the-counter pasina mishonga.
- Muto wemagnesia: Muchi we magnesia une magnesium hydroxide, ine sarmotic osmotic ine unhu hwakashata husingabvumirwi nevana vose. Ingave yakakosha kusanganiswa nemaspuni 1-2 eTang kana Nestle Quick kana kusanganiswa mumukaka wehove.
- Mafuta eMaminari: Mineral mafuta ndiyo yakagadziriswa yekoloni yaunokwanisa kusanganiswa nemusi we orange. Zvakakosha kucherechedza kuti mineral oil inogona kukonzera kuora kwechigaro uye kushatisa zvepurasitiki, saka haunotyi kana uchiona izvi.
- Docusate: inowanikwa seColace uye Surfak, inogadzirisa zvinodhaka. Inowanikwawo neinosimudzira zvinokonzera mishonga pamwe chete Peri-Colace.
- Malt Soup Extract (Maltsupex): Maltsupex ine unhu husina kufadza, asi nyore nyore kusanganiswa nemhando yevana vaduku.
- Senokot: Senolot inokonzera kukuvadza, inowanikwa seSenokot kana Senokot S iyo inobatanidza laxative nechitsiko chekudzivirira.
- Bisacodyl: Biscadyl inoshandiswa pamatare inoshandisa zvinokonzerwa neCorrectol uye Dulcolax.
Mimwe mishonga inowanikwa nemurairo inosanganisira Lactulose, osmotic laxative
Mukuwedzera kune chigadziro chechigadziro, zvinogonawo kubatsira kuwedzera fiber nekusanganiswa Metamucil kana Citrucel nema 8 ounces emvura kana juice, kana chimwe chikafu chinogadzirisa mhando kana fiber inowedzera. Mune fiber yakawanda inowanikwa ikozvino inowanikwa seyetafura inoshandiswa yevana, uye kune kunyange fiber gummy supplement.
Neimwe yemishonga iyi, taura nevana vako vekutanga. Zvidzidzo zvenguva pfupi zvinoratidza kuti polyethylene glycol (Miralax) inogona kuva yakachengeteka zvakanyanya kugadzirira vana nevana vaduku. Izvozvo zvakati, mwana wese mwana akasiyana uye chiremba wevana vanogona kuita zvakanakisisa kukurudzirwa kubva pane zivo yake yevana vako uye nhoroondo yezvokurapa.
Inoda Kuitwa Sei?
Chinangwa chikuru chekurapa kubatwa kwemwana wako ndekumutora kuti ave nechigadziko chemazuva ose. Kuti uite izvi, mwana wako angave achida kutora mushonga wake kwenguva yakareba, kazhinji kusvika kumwedzi 4 kusvika ku6. Chimwe chezvikanganiso zvakakura vabereki vanoita mukurapa kuvimbiswa kwevana vavo kumira mishonga yavo kana vachingotanga kuva nemagetsi. Kana iwe wakamira kare kare, mwana wako angangodzokorora zvakare uye anozvinyima zvakare.
Kana mwana wako aine zvigaro zvishoma, iwe unogona kutaura nevana vako nezvekuderedza madheji e-laxative iwe uri kushandisa. Izvi zvinowanzoitwa zvishoma nezvishoma, kazhinji kuburikidza nekuderedza chiremba ne25 muzana mwedzi imwechete kusvika ku2. Kuchengetedza mitsetse zvakakurumidza kunogona kukonzera kuti mwana wako azvidzivirire zvakare. Zvakakoshawo kuti urambe uchidya mwana wako asina kudya uye nguva mushure mekunge vateereri vamira.
Iva nechokwadi chekutaurirana nechiremba wevana vako usati watanga mwana wako pane mushonga mutsva kana iwe uri kuchinja mukana wemishonga yaakagara ataurwa.
Disimpaction Treatments
Nemhaka yokuti pane kazhinji kakura, yakaoma mashoma echitsiko iyo 'yakatsigira' mumucheche wemwana wako, mwana wako angada kuve "akachena kunze" kana kusazvimirira vasati vadya uye kugadzirisa chirwere chinoshanda. Izvi zvinowanzoitwa uchishandisa enema kana suppository pasi pekutarisira vanachiremba. Izvo zvinogona kuitwa nekushandisa masero akawanda emaminera emafuta kana polyethylene glycol.
Nenzira yakawanda, vana vane makore pasi pemakore gumi nemasere vanogona kupa glycerine suppository, asi pasi pekutungamirirwa kwechiremba wevana. Vana pakati pemwedzi gumi nemana nemakore gumi nemashanu vanokwanisa kupa Chirwere chemaEma enema kana hafu yeDulcolax suppository. Vana vakwegura vanogona kupa maFleets enema yenguva dzose kana kuti Dulcolax suppository yose.
Iwe unofanirwa, zvisinei, udzivise kushandiswa nguva dzose kwemaema kana suppository. Dzimwe nguva dzinodiwa se'kuponesa therapy 'kana mwana wako asina kuve nekufamba kwemafuro mumazuva 3-4, asi kana iwe uchida kuishandisa nguva dzose, iwe unogona kunge uchida kuwedza madhagiri echigaro chekunyorera iwe uri using.
Maitiro ekuchinja
Kana imwe nguva zvigaro zvemwana wako zvave zvinyorova uye zvekare, zvakakosha kuchinja maitiro ake nekumukurudzira kuti ave nekufamba kwenguva dzose. Izvi zvinowanzobatanidza kugara naye pachimbudzi kwemaminitsi mashanu mushure mekudya kamwe kana kaviri pazuva. Iwe unogona kuchengeta diary kana chatipa chati paanenge achiedza kuva nechikwata chemahombe uye / kana kutora mishonga yake, uye apa kupa mubairo wekuteerera nguva dzose. Usaedza kumumanikidza kuti agare kusvikira aine chikwata chemuviri.
Matambudziko
Mukuwedzera kumarwadzo, kuvhiringidzika kunogona kutungamirira kumakumbo anore kana misodzi muganda rakapoteredza rectum, kubuda ropa, hemorrhoids, rectal prolapse, uye kubata. Encopresis chimwe chiitiko chekugara kwenguva refu uye chinogona kukonzera kusabatanidzwa kwechigaro chechivi chechipiri kune kushandiswa kwezvizhinji zvechigaro.
Kunyangwe kuvhiringidzika kune chirwere chisingaperi chinowanzoomera kubata, kuva nemarwadzo ekurwadza kwechirwere hachisi chinhu icho mwana wako anofanira "kudzidza kurarama nacho." Nekufamba kwenguva, nekudya kwakakodzera nekurapa, mwana wako anofanira kukwanisa kuve nekufamba kwenguva nguva.
Kana chiremba wevana vako asingakwanisi kubatsira kubata chirwere chemwana wako, iwe unogona kutsvaga rubatsiro rwezvechipatara gastroenterologist. Kuendesa kune mumwe muongororiwo zvakare pfungwa yakanaka kana mwana wako ane zviratidzo zvekunyevera zvechimwe chirwere chakakomba kana kuti iye haasi kubudirira nemishonga yako yemazuva ano.
Pasi Panoona Kurapwa Kwekudzivirira Mucheche
Kuvhara mucheche kwakanyanya uye kunowanzoenderana nekudya, pamwe nekuregererwa kwechigaro apo kuvimbiswa kunokonzera kusagadzikana. Mishonga inowanzoda kusanganisa kurapwa uye inogona kutora mwedzi yakawanda. Izvo zvakati, kune zvakawanda zvingasarudzwa zviripo. Iva nechokwadi chokuti unotaura nevana vako uye unowana mazano uye mazano pane chero kuchinja kwekudya kwaunoita kana mishonga yaunoshandisa.
> Sources:
> Gordon, M., MacDonald, J., Parker, C., Akobeng, A., uye A. Thomas. Osmotic uye Stimulant Laxatives nokuda kweKubata Kwevana Kubata. Cochrane Database yekuongorora kwakarongeka . 2016. (8): CD009118.
> Kliegman, Robert M., Bonita Stanton, St Geme III Joseph W., Nina Felice. Schor, Richard E. Behrman, uye Waldo E. Nelson. Nelson Nhamba yeBhuku rePediatrics. 20th Edition. Philadelphia, PA: Elsevier, 2015. Print.
> Tabbers, M., DiLorenzo, C., Berger, M. et al. Kuongororwa nekurapa kweKushanda Kwekuchengetedzwa Kwevana mucheche nevana: Zviratidzo-Kubva mazano kubva ESPGHAN neNASPHAN. Zvinyorwa zveMwana Gastroenterology uye Nutrition . 2014. 58 (2): 258-74.