Kudzimbidwa kwa makanda ndi ana

Kudzimbidwa kwa makanda ndi ana kumachitika akakhala ndi zotchinga zolimba kapena akakhala ndi zovuta zodutsamo. Mwana amatha kumva kupweteka akudutsa chimbudzi kapena sangakhale ndi vuto loyenda atakakamiza kapena kukankha.

Kudzimbidwa kumakhala kofala mwa ana. Komabe, mayendedwe abwinobwino amasiyana ndi mwana aliyense.

M'mwezi woyamba, makanda amakonda kuyenda matumbo pafupifupi kamodzi patsiku. Pambuyo pake, makanda amatha masiku angapo kapena sabata pakati pa matumbo. Zimakhalanso zovuta kudutsa chimbudzi chifukwa minofu yawo yam'mimba ndiyofooka. Chifukwa chake makanda amakonda kupsyinjika, kulira, ndi kufiira kumaso akamayenda. Izi sizitanthauza kuti adzimbidwa. Ngati matumbo ali ofewa, ndiye kuti mwina palibe vuto.

Zizindikiro za kudzimbidwa mwa makanda ndi ana atha kuphatikiza:

• Kukhala wokonda kwambiri komanso kulavulira pafupipafupi (makanda)
• Zovuta kudutsa malo kapena kuwoneka osasangalala
• Malo olimba, owuma
• Ululu mukamayenda m'matumbo
• Kupweteka kwa m'mimba ndi kuphulika
• Zazikulu, zotchinga zazikulu
• Magazi pampando kapena papepala
• Zotsatira zamadzi kapena chimbudzi mu zovala zamkati za mwana (chizindikiro chazinyalala)
• Kukhala ndi matumbo ochepera atatu pamlungu (ana)
• Kusuntha matupi awo m'malo osiyanasiyana kapena kumata matako awo

Onetsetsani kuti khanda lanu kapena mwana wanu ali ndi vuto asanayambe kudzimbidwa:

• Ana ena samayenda m'mimba tsiku lililonse.
• Komanso, ana ena athanzi nthawi zonse amakhala ndi mipando yofewa kwambiri.
• Ana ena ali ndi mipando yolimba, koma amatha kuwadutsa popanda mavuto.

Kudzimbidwa kumachitika pamene chopondapo chimakhalabe m'matumbo motalika kwambiri. Madzi ochulukirapo amalowetsedwa m'matumbo, kusiya mipando yolimba, youma.

Kudzimbidwa kungayambitsidwe ndi:

• Kunyalanyaza chikhumbo chogwiritsa ntchito chimbudzi
• Kusadya fiber yokwanira
• Osamwa madzi okwanira
• Kusintha kupita ku zakudya zolimba kapena kuchokera mkaka wa m'mawere kupita mu fomula (makanda)
• Zosintha pamikhalidwe, monga kuyenda, kuyamba sukulu, kapena zovuta

Zomwe zimayambitsa kudzimbidwa zitha kuphatikizira izi:

• Matenda am'matumbo, monga omwe amakhudza matumbo kapena mitsempha
• Matenda ena omwe amakhudza matumbo
• Kugwiritsa ntchito mankhwala ena

Ana atha kunyalanyaza chikhumbo chokhala ndi matumbo chifukwa:

• Iwo sali okonzekera maphunziro achimbudzi
• Akuphunzira kuwongolera matumbo awo
• Adakhalapo ndi matumbo opweteka kale ndipo amafuna kuwapewa
• Safuna kugwiritsa ntchito sukulu kapena chimbudzi cha anthu onse

Kusintha kwa moyo kumatha kuthandiza mwana wanu kupewa kudzimbidwa. Zosinthazi zitha kugwiritsidwanso ntchito kuchiza.

Kwa makanda:

• Mpatseni mwana wanu madzi owonjezera kapena msuzi masana pakati pakudya. Madzi amatha kuthandiza kubweretsa madzi kumtunda.
• Oposa miyezi iwiri: Yesani ma ola 2 mpaka 4 (59 mpaka 118 mL) a madzi azipatso (mphesa, peyala, apulo, chitumbuwa, kapena prune) kawiri patsiku.
• Oposa miyezi inayi: Ngati mwana wayamba kudya zakudya zolimba, yesani zakudya za ana zokhala ndi michere yambiri monga nandolo, nyemba, maapurikoti, prunes, mapichesi, mapeyala, maula, ndi sipinachi kawiri patsiku.

Kwa ana:

• Imwani madzi ambiri tsiku lililonse. Wothandizira zaumoyo wa mwana wanu akhoza kukuwuzani kuchuluka kwake.
• Idyani zipatso ndi ndiwo zamasamba ndi zakudya zambiri, monga mbewu zonse.
• Pewani zakudya zina monga tchizi, chakudya chofulumira, chakudya chokonzedwa ndi chosakidwa, nyama, ndi ayisikilimu.
• Lekani maphunziro apachimbudzi ngati mwana wanu akudzimbidwa. Yambitsaninso mwana wanu atapanda kudzimbidwa.
• Phunzitsani ana okulirapo kugwiritsa ntchito chimbudzi atangomaliza kudya.

Zofewetsa pansi (monga zomwe zili ndi docusate sodium) zitha kuthandiza ana okulirapo. Mankhwala otsegula m'mimba monga psyllium amatha kuthandizira kuwonjezera madzimadzi ndi zochulukirapo popondapo. Suppositories kapena mankhwala ofewetsa tuvi tolimbitsa thupi angathandize mwana wanu kuyenda matumbo pafupipafupi. Mayankho a Electrolyte ngati Miralax amathanso kukhala othandiza.

Ana ena angafunike mankhwala opangira mankhwala kapena mankhwala opatsirana pogonana. Njirazi ziyenera kugwiritsidwa ntchito pokhapokha ngati ma fiber, madzi, ndi zofewetsera situlo sizimapereka mpumulo wokwanira.

Osapatsa mankhwala ofewetsa tuvi tolimba kapena mankhwala opanda ana musanapemphe omwe akukuthandizani.

Imbani wothandizira mwana wanu nthawi yomweyo ngati:

• Khanda (kupatula omwe amangoyamwa) amapita masiku atatu opanda chopondapo ndipo akusanza kapena kukwiya

Komanso itanani wothandizira mwana wanu ngati:

• Mwana wakhanda wosakwana miyezi iwiri amadzimbidwa
• Makanda osayamwitsa amapita masiku atatu osayenda matumbo (itanani pomwepo ngati pali kusanza kapena kukwiya)
• Mwana akugwiritsa ntchito matumbo kukana kuphunzira kuchimbudzi
• M'magazi muli magazi

Wopereka mwana wanu adzayesa thupi. Izi zitha kuphatikizanso mayeso am'mbali.

Woperekayo akhoza kukufunsani mafunso okhudzana ndi zakudya za mwana wanu, zizindikiritso zake, komanso momwe amathandizira.

Mayesero otsatirawa angathandize kupeza chifukwa cha kudzimbidwa:

• Kuyesa magazi monga kuwerengera kwathunthu kwa magazi (CBC)
• X-ray pamimba

Wothandizirayo angalimbikitse kugwiritsa ntchito zofewetsa pansi kapena mankhwala ofewetsa ululu. Ngati chimbudzi chakhudzidwa, glycerin suppositories kapena saline enemas amathanso kulimbikitsidwa.

Kusakhazikika kwamatumbo; Kusowa kwa matumbo nthawi zonse

• Kudzimbidwa - zomwe mungafunse dokotala
• Zakudya zapamwamba kwambiri

• Magwero a CHIKWANGWANI
• Zakudya zam'mimba ziwalo

Kwan KY. Kupweteka m'mimba. Mu: Olympia RP, O'Neill RM, Silvis ML, olemba. Chinsinsi Chamankhwala Osamalidwa Mwamsangas. Philadelphia, PA: Elsevier; 2018: mutu 19.

Maqbool A, Liacouras CA. Zizindikiro zazikulu ndi zizindikilo zamavuto am'mimba. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 332.

National Institute of Diabetes and Digestive and Impso Diseases. Kudzimbidwa mwa ana. www.niddk.nih.gov/health-information/digestive-diseases/constipation- ana. Idasinthidwa mu Meyi 2018. Idapezeka pa Okutobala 14, 2020.