Encopresis

Inā hoʻomaʻamaʻa ʻia kahi keiki ma kahi o 4 mau makahiki o ka holoi, a ke hele wale nei i ka noho a me nā lole lepo, kapa ʻia ʻo ia ʻo encopresis. Ma ke kumu a hana ʻole paha ke keiki i kēia.

Loaʻa i ka keiki ke kōpī. He paʻakikī ka maloʻo, maloʻo, a paʻa i ke kolona (i kapa ʻia ka fecal impaction). Hele wale ke keiki ma kahi o ka pulu a kokoke paha i ka wai e kahe ana a puni ka pahu paʻa. Puka paha i ke ao a pō paha.

Hiki i nā kumu ʻē aʻe ke:

• ʻAʻole hoʻomaʻemaʻe ʻauʻau i ke keiki
• Ke hoʻomaka nei i ka hoʻomaʻamaʻa ʻauʻau i ka wā ʻōpio o ke keiki
• Nā pilikia kūpona, e like me ke kūʻē kūʻē kūʻē a i ʻole maʻi maʻi

ʻO nā kumu āpau, ʻike paha ke keiki i ka hilahila, hewa, a me ka hoʻohaʻahaʻa iā ia iho, a hūnā paha i nā hōʻailona o ka encopresis.

Nā mea e hoʻonui ai i ka makaʻu o ka encopresis e komo pū me:

• Kaohi paʻa paʻa
• Kūlana haʻahaʻa haʻahaʻa haʻahaʻa

ʻOi aku ka maʻamau o Encopresis i nā keikikāne ma mua o nā kaikamahine. Hele aku ia e hele a hele a makua ke keiki.

Hiki i nā ʻōuli ke hoʻokomo i kekahi o kēia mau mea:

• ʻAʻole hiki ke hoʻopaʻa i ka pahu holo ma mua o ka hele ʻana i kahi lua (incontinence bowel)
• Ke hele nei i ka pahu ma nā wahi kūpono ʻole (e like me nā lole o ke keiki)
• Ka hūnā ʻana i nā ʻōpū o ke ʻōpū
• Loaʻa i nā kūpikipiki a paʻakikī
• Ke hele nei i kahi pahu nui nui i kekahi manawa kokoke i ka pale i ka lua
• Loaʻa ka ʻai ʻole
• Paʻa mimi
• Hōʻole e noho i ka lua
• Hōʻole e lawe i nā lāʻau
• ʻO ka bloating sensation a ʻeha paha i loko o ka ʻōpū

Hiki paha i ka mea mālama ola ke manaʻo i ka pahu i paʻa i ka rectum o ke keiki (impecional fecal). Hiki i kahi x-ray o ka'ōpū o ke keiki ke hōʻike i kahi pahu i hoʻopili ʻia i ke kolona.

Hiki i ka mea hāʻawi ke hana i kahi ninaninau i ka ʻōnaehana hopohopo e kāpae i kahi pilikia o ka iwi kuamoʻo.

Hiki i nā hoʻokolohua ʻē aʻe ke:

• Urinalysis
• Moʻomeheu mimi
• Nā hoʻāʻo ʻana o ka hana thyroid
• Nā hōʻike loiloi celiac
• Hōʻoiaʻiʻo kalumikuma
• Hōʻike electrolytes serum

ʻO ka pahuhopu o ka mālama ʻana i:

• Kāohi ʻana i ka paʻa paʻa
• Mālama i nā ʻano ʻōpū maikaʻi

ʻOi aku ka maikaʻi no nā mākua e kākoʻo, ma mua o ka hōʻino a hoʻonāwaliwali paha i ke keiki.

Hiki i nā mālama ke hoʻopili i kekahi o kēia mau mea:

• Hāʻawi i ka laxatives a i ʻole enemas i ke keiki e hemo i kahi noho maloʻo a paʻakikī.
• Ke hāʻawi nei i nā keiki i nā mea palupalu.
• ʻO ka ʻai ʻana o ke keiki i kahi papaʻai kiʻekiʻe i ka fiber (nā huaʻai, nā lau, nā kīʻaha holoʻokoʻa) a inu i ka nui o nā wai e mālama i nā noho palupalu a ʻoluʻolu hoʻi.
• Lawe i ka aila minamina ʻono no kahi manawa pōkole. He lāʻau pōkole wale nō kēia no ka mea keʻakeʻa ka aila mineral me ka omo ʻana o ka calcium a me ka huaola D.
• Ke ʻike nei i kahi gastroenterologist pediatric ke lawa ʻole kēia mau ʻano hana. Hiki i ke kauka ke hoʻohana i biofeedback, a i ʻole e aʻo i nā mākua a me ke keiki pehea e mālama ai i ka encopresis.
• Ke ʻike nei i kahi psychotherapist e kōkua i ke keiki e hana me ka hilahila e pili ana, ka hewa, a i ʻole ka lilo o ka hilinaʻi iā ia iho.

No ka encopresis me ka paʻa ʻole o ka pilikia, pono paha i ke keiki i kahi loiloi psychiatric e ʻike i ke kumu.

ʻO ka hapa nui o nā keiki e pane maikaʻi i ka lāʻau. Hoʻomaʻamaʻa pinepine ʻo Encopresis, no laila pono i kekahi mau keiki e hoʻomau i ka mālama.

Inā mālama ʻole ʻia, loaʻa i ke keiki ka hoʻohaʻahaʻa iā ia iho a me nā pilikia i ka hana ʻana a me ka mālama ʻana i nā hoa. Hiki i nā pilikia ʻē aʻe ke:

• Kaohi paʻa paʻa
• ʻO ka Urinary Incontinence

Kāhea i kahi manawa me kāu mea hāʻawi inā he keiki ma mua o 4 mau makahiki a he encopresis.

Hiki ke pale ʻia ʻo Encopresis e:

• E hoʻomaʻamaʻa i ka mākeke i kāu keiki i ka makahiki kūpono a me ke ala maikaʻi.
• Ke kamaʻilio ʻana i kāu mea hoʻolako e pili ana i nā mea hiki iā ʻoe ke hana e kōkua ai i kāu keiki inā hōʻike kāu keiki i nā ʻōuli o ka paʻa paʻa, e like me nā noho maloo, paʻakikī, a i ʻole pinepine pinepine.

Lepo; Kūmau ʻole - stool; Constipation - encopresis; Ka hopena - encopresis

Marcdante KJ, Kliegman RM. Loiloi ʻōnaehana Digestive. I: Marcdante KJ, Kliegman RM, hua.Nā Pono Nui o Pediatrics. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 126.

Noe J. Constipation. I loko o: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. ʻO Diagnosis Hōʻike Hōʻikeʻike Pediatric Nelson. Piladelapia, PA: Elsevier; 2018: chap 16.