Ukuqunjelwa Ezinganeni: Izimpawu, Izimbangela, Ukwelashwa kanye Namakhambi Asekhaya

Ukuqunjelwa kuphakathi kwezinkinga zesisu ezivame kakhulu ezithinta izingane eziningi. Kungaba umthombo wokungakhululeki, ukucindezeleka, ngisho nokukhathazeka ngempilo yesikhathi eside uma kungalungiswanga ngokwanele. Njengomzali, ukuqonda izimpawu, izimbangela, kanye nokulawulwa kokuqunjelwa kwezingane kubalulekile ukuze uqinisekise inhlalakahle yengane yakho. Le bhulogi izocubungula amathiphu namasu ochwepheshe okuqaphela, ukwelapha, kanye nokuvimbela ukuqunjelwa kwezingane.

Izimpawu Zokuqunjelwa Ezinganeni

Ukuqunjelwa ezinganeni kungabonakala ngezindlela ezihlukahlukene, futhi abazali kudingeka baqaphele izimpawu ezibonisayo. Ezinye zezimpawu ezijwayelekile zokuqunjelwa yilezi:

• Ukuphuma kwamathumbu okungajwayelekile (ngaphansi kwezikhathi ezintathu ngeviki)
• Indle eqinile, eyomile, noma okunzima ukuyidlulisela
• Ubuhlungu besisu noma ukungakhululeki
• Ukuqunjelwa noma umuzwa wokugcwala
• Ukuncipha kwesifiso sokudla noma ukulahlekelwa ukudla
• Ukucasuka noma ukushintsha kwemizwa
• Ukungcola noma ukuvuza kwendle
• Ubunzima noma ukuqina ngesikhathi sokunyakaza kwamathumbu

Izimbangela Zokuqunjelwa Ezinganeni

Ukuqunjelwa ezinganeni kungabangelwa izici ezihlukahlukene, okuhlanganisa:

• Izici Zokudla:
  • Ukungadli ngokwanele ukudla okunothe nge-fiber, njengezithelo, imifino, nokusanhlamvu
  • Ukungena uketshezi okwanele
  • Ukusetshenziswa ngokweqile kokudla okugayiwe noma okunamafutha amaningi
• Izici Zokuphila:
  • Ukubambezeleka noma ukuhamba kancane kwendle ngohlelo lokugaya ukudla
  • Ukungasebenzi kahle kwe-pelvic floor noma imisipha yesisu ebuthaka
  • Ukungalingani kweHormonal
• Izici Zokuziphatha:
  • Ukuziba isifiso sokudlula indle
  • Ukubamba indle ngenxa yokwesaba ubuhlungu noma ukungakhululeki
  • Ukuphazamiseka kwesimiso noma izinguquko endaweni ezungezile
• Izimo Zezokwelapha:
  • Imithi ethile (isb, ama-antidepressants, izithasiselo zensimbi)
  • Izifo ze-neurological noma ze-endocrine (isb. i-hypothyroidism)
  • Ukungajwayelekile kwesakhiwo ohlelweni lokugaya ukudla

Izingozi Zezingozi

Kunezici eziningana ezingandisa ingozi yokuqunjelwa ezinganeni, okuhlanganisa:

• Iminyaka yobudala: Izinsana nezinsana zisengozini enkulu yokuqunjelwa ngenxa yokuthuthukiswa kwesistimu yazo yokugaya ukudla.
• Ukudla: Ukudla okune-fibre ephansi, ukudla okucutshungulwe kakhulu, noma ukudla okunamafutha amaningi kungabangela ukuqunjelwa.
• Ukuqeqeshwa Kwendlu Yangasese: Ukucindezeleka nokukhathazeka okuhlobene nokuqeqeshwa kwangasese kungaholela ekubambeni izihlalo
• I-Genetics: Ezinye izingane zingase zibe ne-genetic predisposition to constipation.

Izinkinga

Uma kuyekwa kungelashwa, ukuqunjelwa ezinganeni kungaholela ezinkingeni eziningana, okuhlanganisa:

• I-Faecal Impaction: Ukunqwabelana kwendle eqinile, eyomile ku-rectum kungabangela ukuvaleka, okuholela kwezinye izinkinga.
• Ubuhlungu Besisu Nokuqunjelwa: Ukunqwabelana kwendle kungabangela ubuhlungu, ukungakhululeki, nokugcwala esiswini.
• Ukutheleleka kwe-Urinary Tract: Ukuqunjelwa kungacindezela esinyeni, kwandise ingozi yokutheleleka komgudu womchamo.
• I-Rectal Prolapse: Ezimweni ezimbi kakhulu, i-rectum ingase iphumele endunu ngenxa yokuqina ngesikhathi sokunyakaza kwamathumbu.
• Izinkinga Zemizwelo Nokuziphatha: Ukuqunjelwa okungamahlalakhona kwezingane kungaholela emizweni yokuphoxeka, ukuzethemba, nezinkinga zokuziphatha ezinganeni.

Ukuxilongwa Kokuqunjelwa Ezinganeni

Ukuhlola ukuqunjelwa ezinganeni ngokuvamile kuhilela inhlanganisela yalokhu okulandelayo:

• Umlando Wezokwelapha: Udokotela wengane yakho uzobuza mayelana nemikhuba yamathumbu engane yakho, ukudla okudlayo, nanoma yiziphi izimo zezokwelapha ezicashile.
• Ukuhlola Umzimba: Udokotela uzohlola umzimba ojulile, okuhlanganisa nokuhlolwa kwe-rectal, ukuze ahlole ukungahambi kahle noma indle ethintekile.
• Izivivinyo Zokuxilonga: Ngokuya ngobunzima bokuqunjelwa, udokotela wezingane angase atuse ukuhlolwa okwengeziwe, okufana ne-X-ray yesisu, i-anorectal manometry, noma izifundo ze-colonic transit, ukuze kukhishwe noma yiziphi izimo zezokwelapha ezingaphansi.

Ukwelashwa Kokuqunjelwa Ezinganeni

Ukuqunjelwa ekwelashweni kwezingane kuvame ukubandakanya indlela ehlukahlukene, engafaka:

• Izinguquko Zokudla:
  • Ukwandisa ukuthathwa kwemikhiqizo yokudla okunothe nge-fiber, njengezithelo, imifino, nokusanhlamvu
  • Ukukhuthaza uketshezi olwanele ukugcina indle ithambile futhi kulula ukudlula
  • Ukunciphisa noma ukugwema ukudla okunamafutha amaningi nokudla okugayiwe
• Imithi:
  • Ama-laxatives noma izinto zokuthambisa indle ukusiza ukuthambisa nokulawula ukunyakaza kwamathumbu
  • Ama-enema noma ama-suppositories, ezimweni ezinzima kakhulu, ukusiza ukususa indle ethintekile
• Ukungenelela kokuziphatha:
  • Ukusungula inqubo yendlu yangasese engaguquki kanye nokukhuthaza ukunyakaza kwamathumbu okuvamile
  • Ukufundisa amasu okuphumuza ukusiza ngokuhambisa amathumbu
  • Ukubhekana nanoma yiziphi izici ezingokwengqondo noma zemizwa ezibangela ukuqunjelwa
• Ukwelapha ngokomzimba:
  • Ukuvuselelwa kwe-pelvic floor ukuthuthukisa ithoni yemisipha nokuxhumana
  • Ukwelashwa kwe-Biofeedback ukusiza izingane zifunde ukuphumula nokuxhumanisa ukunyakaza kwazo kwamathumbu

Uzoyibona Nini Udokotela

Kubalulekile ukubonana nodokotela wezingane uma: 

• Ingane yakho iqunjelwa okuphikelelayo noma okunzima. 
• Ingane yakho ayizange iphume ithumbu ngaphezu kwezinsuku ezintathu.
• Ingane yakho ibhekene nobuhlungu obukhulu besisu, oluhlanzayo, noma imfiva.
• Ingane yakho ibhekene nokopha komgudu noma igazi esitulweni.
• Ingane yakho ibonisa izimpawu zokungqubuzana kwendle, njengendle enkulu, eqinile engakwazi ukudlula.
• Ukuqunjelwa kwengane yakho akuthuthuki ngokushintsha kokudla kanye nendlela yokuphila.

Amakhambi Asekhaya Okuqunjelwa Ezinganeni

Ngaphezu kwemithi yokwelapha enconyiwe, kunamakhambi amaningana asekhaya angasiza ekudambiseni ukuqunjelwa ezinganeni:

• Khulisa I-Fluid Intake: Gqugquzela ingane yakho ukuthi iphuze amanzi amaningi, ubisi, noma amajusi ezithelo ahlanjululwe ukusiza ukuthambisa indle.
• Faka Ukudla Okunothe I-Fibre: Yengeza ukudla okune-fibre ephezulu (izithelo, imifino, okusanhlamvu okuphelele, nemifino) ekudleni kwengane yakho.
• Khuthaza Umsebenzi Womzimba: Ukuvivinya umzimba njalo kungashukumisa ukunyakaza kwamathumbu futhi kuthuthukise umsebenzi wokugaya ukudla.
• Zama Ukubhucunga Isisu: Ukuphulula isisu sengane yakho ngobumnene ngendlela yewashi kungakhuthaza ukunyakaza kwamathumbu.
• Sebenzisa Isinyathelo Sendle: Ukubeka indle encane noma isinyathelo ngaphansi kwezinyawo zengane yakho ngesikhathi sokunyakaza kwamathumbu kungasiza ukuthuthukisa ukuma kanye nokukhululeka kwendle.

Prevention

Ukuvimbela ukuqunjelwa ezinganeni kubandakanya inhlanganisela yezindlela zokudla, indlela yokuphila, kanye namasu okuziphatha:

• Thuthukisa Imikhuba Yokudla Okunempilo: Khuthaza ingane yakho ukuba idle izithelo eziningi, imifino, okusanhlamvu, nokunye ukudla okune-fibre ephezulu. Qinisekisa ukuthi ingane yakho iphuza amanzi anele, ubisi, noma olunye uketshezi olunempilo usuku lonke.
• Misa Umkhuba Wangasese Ongaguquguquki: Siza ingane yakho ihlakulele umkhuba wamathumbu avamile ngokuyikhuthaza ukuba isebenzise indlu yangasese ngesikhathi esifanayo usuku ngalunye.
• Nciphisa Izenzo Zokunganyakazi: Khuthaza ingane yakho ukuba ihlanganyele emisebenzini evamile, njengokudlala, ukuzivocavoca, noma ukuhlanganyela kwezemidlalo.
• Bhekana nanoma yiziphi izimo zezempilo ezicashile: Uma ingane yakho inesimo esingase sibe nomthelela ekuqunjweni, sebenzelana eduze nayo. udokotela wezingane ukuyiphatha ngempumelelo.
• Gwema Imithi Engadingekile: Xoxa nganoma yimiphi imithi ingane yakho eyithathayo nodokotela wayo, njengoba abanye bangase babe nomthelela ekuqunjweni njengomphumela omubi.

Isiphetho

Ukuqunjelwa ezinganeni kuyisimo esivamile kodwa esivame ukulapheka. Ngokuqonda izimpawu, izimbangela, nezici zobungozi nokusebenzisa amasu okuphatha afanele, abazali bangasiza izingane zabo zinqobe lokhu kuphatheka kabi futhi zigcine uhlelo lokugaya ukudla lunempilo. Khumbula ukusebenzisana eduze nodokotela wakho wezingane ukuze uqinisekise umphumela omuhle kakhulu. Ngendlela efanele, ungasiza ingane yakho ukuba ifinyelele ukunyakaza kwamathumbu okujwayelekile, okunethezekile futhi ikhuthaze inhlalakahle jikelele.

FAQ sika

1. Ingane kufanele ikhiphe amathumbu kangaki?

Ukuvama kokuphuma kwamathumbu kungahluka kuye enganeni, kodwa ngokuvamile, izingane kufanele okungenani zibe nokukhipha amathumbu kathathu ngesonto. Uma ingane yakho iphuma amathumbu ngaphansi koku-3 ngesonto, kungase kubonise ukuqunjelwa.

2. Iyini imiphumela yesikhathi eside yokuqunjelwa engalashwa ezinganeni?

Ukuqunjelwa okungalashwa kwezingane kungabangela izinkinga ezifana ne-faecal impaction, ubuhlungu besisu, ukutheleleka kwe-urinary tract, i-rectal prolapse, ngisho nezinkinga ezingokomzwelo nezokuziphatha. 

3. Ingabe izinguquko zokudla zizodwa zingaxazulula ukuqunjelwa ezinganeni?

Ezimweni eziningi, izinguquko zokudla, njengokwandisa ukudla kwe-fiber nokuqinisekisa ukusetshenziswa okwanele koketshezi, kungalawula ngokuphumelelayo ukuqunjelwa ezinganeni. Kodwa-ke, ukwelashwa okwengeziwe, njengama-laxatives noma ukungenelela kokuziphatha, kungase kudingeke ezimweni ezinzima kakhulu noma eziqhubekayo.

4. Abazali bangayisiza kanjani ingane yabo ukuba inqobe ukwesaba ukusebenzisa indlu yangasese?

Ukukhuthaza isimiso sendlu yangasese ekhululekile futhi eyakhayo, ukunikeza ukusekelwa ngokomzwelo, nokubhekana nanoma yiziphi izici ezingokwengqondo ezicashile kungasiza izingane zinqobe ukwesaba ukusebenzisa indlu yangasese. 

5. Ingane kufanele ibone nini i-gastroenterologist ukuze iqunjelwe?

Uma ukuqunjelwa kwengane yakho kungathuthuki ngokushintsha kokudla kanye nendlela yokuphila, noma uma ihlangabezana nezimpawu ezinzima noma eziqhubekayo, kungase kube okufanele ukubonana nodokotela we-gastroenterologist. I-gastroenterologist inganikeza ukuhlolwa okuphelele futhi ithuthukise uhlelo lokwelapha oluhambisanayo.