小儿排便反射要及时训练

小儿排便反射要及时训练

一放寒假，门诊上不少幼儿园的家长带着小孩来咨询小孩“粑粑”问题，“天天吃蔬菜水果，大便还出血，小孩疼得直哭”，“小孩都上一年级了，还要兜着尿不湿”……这些问题让家长头疼不已。专家提醒，小儿排便反射要及时训练，必要时可以借助如开塞露等辅助手段训练宝宝，警惕本来只是由饮食不当、大便不规律而转为肠道系统永久性损害的“器质性”疾病。

给孩子用开塞露要适量

去年九月份，优优刚上幼儿园，让家长省心了不少，但是“粑粑”又成了新问题。上幼儿园之前，优优每天都是早饭后拉“粑粑”的，因为早上要赶去幼儿园，有时候等不及，一段时间过后，几天才一次大便，而且又干又硬，家长也天天给优优吃蔬菜水果，但是优优每次都大哭大闹，可能是因为害怕，都很少听到优优主动说要上厕所。

据南京市中医院肛肠科丁曙晴介绍，在门诊上小儿便秘、肛裂的患者还挺多的，大多不是器质性疾病，主要是由于挑食、上幼儿园后没有合理的排便习惯，引起了便秘。像优优这种情况，小儿因为上厕所疼痛而惧怕，导致感觉功能下降(便意感不强)，可以适当借助开塞露等润滑工具辅助排便。首先家长在小儿排便前，可以用坐浴的方式，但是注意不要烫伤宝宝；其次，可以用点小儿专用开塞露，使用的时候，可以在开塞露头上抹点润滑油，减少对宝宝的刺激(也可以在开塞露中注入温开水或者麻油)刺激宝宝排便，排便要定时，家长要做好记录工作。比如第一个两周，每天定时(一般选择饭后排便)使用开塞露；第二个两周，隔天使用开塞露，观察自然排便的状况；第三个两周，隔两天使用开塞露，基本上6周左右，小儿排便应该能够恢复正常。当然，有的家长图省事，一便秘就给小儿用开塞露也是不可取的，长此以往，形成恶性循环，儿童胃肠功能发育还不太完善，容易带来伤害。

7—9个月就可训练排便

丁主任介绍，门诊上还有一些“大龄”尿不湿小朋友，都要上一年级了，每天还要兜个尿不湿上学，被小伙伴取笑，家长着急不已，其实还是和家长没有适时训练排便有关。一般来说，刚生下来的小婴儿是无意识地排便，4个月左右开始有排便反射，7-9个月家长就可以训练宝宝排便，也就是常说的“把尿把屎”。如果小儿比较抗拒的话，可以增加趣味性，比如用造型卡通的尿盆，大人示范等等。此外，专家提醒，小儿便秘要及时去医院治疗，防止出现其他病变如肛门裂、肛门狭窄等，不能长期自行使用药物强制排便。

A winter vacation, many parents with children to the kindergarten on outpatient counseling children "BaBa", "eat fruits and vegetables every day, move bowels still bleeding, child crying in pain straight", "the children were in first grade, but also the pocket diapers"... These questions let parents headache. The expert reminds, pediatric defecation reflex to timely training, may, when necessary, with the aid of auxiliary means such as such as open plug training baby, alert, originally from improper diet, defecate is not law and permanent damage to the intestinal disease "organic".

Give the child with a plug in moderation

Last September, just kindergarten. Let parents worry a lot, but "BaBa" and become a new problem. Before kindergarten, yo-yo pull "BaBa" after breakfast every day, because the morning to go to catch the young son, sometimes can't wait, for a period of time, after a couple of days a shit, and dry hard, parents also every day to eat fruits and vegetables. But cry every time make. May be because of fear, rarely hear yo-yo initiative to say to want to go to the toilet.

According to nanjing hospital anus bowel division Ding Shuqing on outpatient pediatric patients with constipation, anal fissure is quite many, mostly is not organic diseases, is mainly due to the picky eaters, not reasonable used to defecate acquisition after kindergarten, caused the constipation. Like this kind of situation. Children because of the pain and fear to go to the bathroom, led to the decrease of the function of feeling (sense of meaning is not strong), may be appropriately with open dew lubrication tools such as auxiliary defecation. First of all, parents in pediatric and top, can use the sitz bath, but be careful not to burn the baby; Second, you can use a little children special open plug, when using, can put some oil on outcrop opening filling, reduce the incentive for the baby (can also be injected in kayseri dew water or sesame oil) stimulate baby's bowel movements, defecation should time, parents want to do a good job record. Such as the first two weeks, every time (generally choose defecation after meals) using open plug dew; The second two weeks, the next day using open plug, observing the condition of the natural defecation; The third two weeks, two days using a plug, basically 6 weeks or so, children should be able to resume normal defecation. Of course, some parents graph save trouble, a constipation for pediatric open plug is not desirable, in the long run, a vicious cycle, children gastrointestinal function development is not too perfect, easy to damage.

7-9 months training defecate

Ding, director of introduction, still have some "old" diapers in outpatient service of children, are in first grade, even a diaper bag to school every day, be laugh at by the junior partner, parents worry, actually still and parents no timely training related to defecate. In general, the newly born baby is unconsciously defecation, starting around four months with defecation reflex, 7-9 months baby's parents can defecate, is often said that "the urine the shit". If children are to resist, you can add interest, such as cartoon character douwei, adult demonstration and so on. In addition, the expert reminds, infantile constipation should go to a hospital in time, prevent other lesions such as anal fissure, anal stenosis, not long-term use of drugs by forced defecation.