Ubusuku be-enuresis: umbono ukusuka kwicala

I-enuresis yasebusuku - ukuchama ngokungahambiyo ngexesha lokulala ebusuku. Ukukhubazeka okwenziwe ngokuqhelekileyo ebuntwaneni, ngamanye amaxesha kunzima ukuxakekisa ubomi bezingane nabazali babo. Izibalo zibonisa ukuba malunga ne-15% yabantwana emva kweminyaka emihlanu ubudala babonisa i-enuresis emini. Kule meko, iyeza elibaluleke kakhulu lixesha. Njengoko ukhula, inani labantwana abanalesi sifo liyancipha ngokukhawuleza: xa beneminyaka eyi-10 ubudala, kwenzeka kwi-10% yabantwana, emva kweminyaka eyi-17 ubudala, iyancipha ngaphantsi kwepesenti enye.

I-enureis yasebusuku: i-etiology

Uninzi oogqirha bakholelwa ukuba imbangela ebalulekileyo ye-enuresis kukungakhangeki kwamanye amaziko omnxeba kunye nama-cortical nerve echaphazelekayo ekulawuleni inkqubo yokucoca. Njengoko kulala kunye nobusuku busuku, i-enuresis yesantya ibonakala rhoqo ngexesha lokulala okungathanga. Into ebalulekileyo ekuphuhlisweni kwesi sifo inexabiso elifa (malunga ne-80% yabantwana abane-enuresis, bobabini abazali ekubuntwaneni nabo babenengxaki ngesifo esichazwe ngasentla).

Ukungahambisani ne-Urinary kuvame ukubhalwa kwabasetyhini. Abaninzi abasetyhini bakholelwa ukuba le ntsholongwane inxulumene ne "rearrangements" ehlobene neminyaka emzimbeni. Ngamanye amaxesha ukungabikho kwamanzi okungcola kubonisa ukuphuhliswa kwezintlu zezilwanyana ezenzeka emzimbeni. I-etiology ye-senile incontinence inxulumene nezifo ze-neurological (isifo, isifo se-sclerosis, isifo sika-Parkinson); Ukunciphisa ithoni yemisipha yeeplavic; Ezinye izifo (isifo sikashukela, uhlobo lwesibini, isifo sengqondo esifanelekileyo, isifo esithintekayo ).

Ukunyanzeliswa kokunyanzelisa umchamo akuyiyo into engabonakaliyo njengokuba abanye abazali bacinga. Ingozi ayikho kwisifo ngokwayo, kodwa kwiingxaki zengqondo ezihamba nazo. Ezi mpendulo zinokwahlukana ngamaqela amaninzi: ukuphulwa kwintlalo yoluntu (ubunzima kwiinkampu, iindwendwe, i-sanatoria, njl); Ukuzithemba okuphantsi (ndinetyala, andinakwenza nantoni na, andinjengomntu wonke, ndinentloni); Izimpendulo ezivela kwizizalwane kunye nabazali (isijeziso, intlungu, ukucaphukisa, intukuthelo); Ukugxekwa kubahlobo kunye noontanga (ukukhwaza, ukuhlaziswa, ukubiza, ukukhutshwa kwimidlalo yeqela).

Iingcebiso ezifanelekileyo kubazali:

• Ukuba umntwana wakho oneminyaka engaphezu kwemihlanu ubudala euresuresis yomhlaba ubonakalisa ngaphezu kweyibini ngenyanga, kufuneka udibanise neurologist, uhlole urological and polysomnography;
• Musa ukukhathazeka kwaye ungakhathazeki , le ntsholongwane iyaqhubeka phantse bonke abantwana;
• Zama ukuziqinisekisa wena nomntwana ukuba akukho nto iphosakeleyo kwiimeko eziqhubekayo ebusuku;
• Musa ukujezisa umntwana ;
• Kwiiyure ezintathu ukuya kwezine ngaphambi kokulala, nciphisa umlinganiselo wetsholongwane.

Okwangoku, kukho izixhobo ezininzi zokuncedisa le ngxaki (umzekelo, i-enuresis alamu evusela umntwana xa kuvela i-drops yokuqala yomchamo, ngenxa yoko, umntwana uvelisa i- reflex condition and starts to wake himself when the first drops of urine appear). Isiphumo esihle sitholakala ngexesha lokuqeqesha ngokuzenzekelayo nokusetyenziswa kweyeza lokuziphatha. Unyango lonyango lusetyenziswa kwiimeko ezizodwa.

I-enuresis yasebusuku: unyango

Utyando lwe-enuresis lwenziwe ngama-neuropathologists kunye nama-psychiatrists. Ngaphambi kokuqala unyango, kufuneka uqaphele isizathu esibalulekileyo sesifo. Inkqubo yonyango kunye neprophylactic iquka iinkqubo ezilandelayo: uqeqesho ekusebenziseni indlu yangasese; Ulwaphulo lokuziphatha (le ndlela yokonyango iboniswe kubantwana abanengxaki yokugula); Pharmacotherapy. Le ndlela yokugqibela isetyenziselwa ukunciphisa ukubandezeleka kwesigulane, ukuba oko akunakwenzeka ngoncedo lwezinye iindlela. Ukufezekisa impembelelo efunwayo, ukulungiselela amalungiselelo e-hormonal asetyenziswa, umzekelo, "iDemopressin" (ukwandisa ukuphindaphinda kwakhona kwiibhola ze-renal); I-Anti-depressants - "Amitriptyline", "Melipramine"; I-Psychostimulants - "iSinokarb"; Adrenomimetics - "Efdrine."