Zamkatimu
Primary enuresis: tanthauzo
Timatcha enuresis kukodza mosasamala, komwe kumachitika nthawi zambiri usiku, pazaka zomwe ukhondo umayenera kupezedwa, mwa kuyankhula kwina kupitirira zaka zisanu. Choyamba enuresis zimachitika mwana amene sanathe kulamulira chikhodzodzo sphincters, pamene enuresis yachiwiri zimachitika pambuyo pa miyezi isanu ndi umodzi ya kukodza, popanda ngozi zamtundu wa "kukodzera pabedi"; ndiko kunena kwa mwana yemwe amayambanso kunyowetsa bedi atapeza ukhondo.
Kodi zifukwa zoyambirira za enuresis mwa ana ndi ziti?
Mu mwana wa enuretic, enuresis woyamba zitha kukhala zogwirizana ndi:
- kuchedwa kukhwima kwa chikhodzodzo;
- nocturnal polyuria, kutanthauza kupanga mkodzo wambiri usiku chifukwa cha kuchepa kwa kupanga kwa anti-diuretic hormone;
- ang'onoang'ono kuposa avareji kapena overactive chikhodzodzo;
- "kudzuka pakhomo", mwachitsanzo, mwana yemwe amadzuka movutikira kwambiri pakati pausiku, ali m'tulo tofa nato, ndipo kufunika kokodza sikukwanira kusokoneza;
- chikhalidwe cha m'banja ndipo chifukwa chake cholowa chibadwa zinthu, ndi enuresis kukwera anthu mu 30 mpaka 60% ya milandu.
Zindikirani kuti zinthu zina zamaganizidwe kapena chikhalidwe-banja zimatha kuyambitsa, kusunga kapena kukulitsa vuto la enuresis.
Kodi nthawi zonse ndi masana kapena usiku?
Kukodzera pabedi kaŵirikaŵiri kumakhala kwa usiku, kukodzera masana m’malo mwa mtundu wa kusadziletsa mkodzo, ndi kutuluka kwa mkodzo, kapena matenda a m’mikodzo. THE'diurnal primary enuresis chikhoza kukhala chizindikiro cha vuto linalake, monga matenda a shuga, kapena zokhudzana ndi kuchedwa kwa chikhodzodzo. Zikakhala zamasiku onse ndi usiku, enuresis yoyamba iyenera kufunsana kuti adziwe chomwe chimayambitsa (zi), ndikuwongolera moyenera.
Kodi pali kusiyana kotani pakati pa pulayimale ndi sekondale enuresis?
Kukodzera pabedi n’kofunika kwambiri ngati sikunayambe ndi ukhondo, nthaŵi imene mwanayo wakhala waukhondo kwa miyezi isanu ndi umodzi.
Pamene enuresis imachitika pakapita nthawi yomwe mwanayo wakhala woyera, amatchedwa secondary enuresis. Izi nthawi zambiri zimayamba pakati pa zaka 5 ndi 7, koma zimatha kuchitika pambuyo pake, makamaka paunyamata.
Chithandizo ndi njira zoyambira enuresis
Chithandizo cha enuresis zakhazikika choyamba pa kukhazikitsidwa kwa njira zaukhondo-zakudya zosavuta, monga kuwunika momwe mumamwa musanagone, ndikukhala ndi chizolowezi chopita kuchimbudzi musanagone.
Njira zophunzitsira, monga kusunga kalendala yosowa, ndi usiku “wouma” ndi usiku “wonyowa,” zingakhalenso zogwira mtima poletsa kukodzera pabedi. "Stop pee", alamu yomwe ikufuna kudzutsa mwanayo kuchokera kudontho loyamba la mkodzo mu diaper yake, imakhala yotsutsana koma imatha kugwira ntchito.
Pa mlingo wa mankhwala, chithandizo chachikulu choperekedwa ndi desmopressin (Minirin®, Nocutil®), koma sichiri mwadongosolo.
Ndi katswiri uti yemwe mungamufunse?
Poyambirira, poyang'anizana ndi enuresis yoyamba mwa ana, dokotala wamkulu kapena dokotala wa ana adzafunsidwa, yemwe adzayang'ane zomwe zingatheke (zina), ndipo adzachotsa kapena kusazindikira matenda oyambirira a usiku omwe amagwirizanitsidwa ndi vuto la diurnal voiding. kapena enuresis masana. Chifukwa kasamalidwe kameneka kamakhala kofanana ngati kamene kamakhala kodzipatula koyambirira kochititsa kaso kausiku (ENPI) kapena usiku wa usiku womwe umagwirizanitsidwa ndi mawonekedwe a tsiku ndi tsiku. General practitioner kapena ana amatha kuchiza chachikulu enuresis ngati si kugwirizana ndi zovuta matenda kapena maganizo zimayambitsa. Katswiri wa zachipatala amatchula mnzake (katswiri wa urologist, dokotala wa ana, katswiri wa zamaganizo a ana, katswiri wa zamaganizo, ndi zina zotero) ngati enuresis imafuna kutsatiridwa kwapadera.
Kodi homeopathy ndi yothandiza?
Mosakayikira pali maumboni ambiri osonyeza kuti homeopathy inachititsa kuti kuthetseratu enuresis yoyamba. Komabe, mankhwala othandizira monga hypnosis, homeopathy, acupuncture kapena chiropractic sanatsimikizire kuti ali ndi mphamvu, makamaka malinga ndi French Association of Urology. Pali maphunziro ambiri pamutuwu, koma mayanjano amawawona kuti si okhwima kwambiri pamlingo wa methodological. Koma palibe chomwe chimalepheretsa kuyesera, makamaka kufanana kapena kulephera kwamankhwala ochiritsira.
Kodi enuresis yoyamba ingakhudze akuluakulu?
Mwa kutanthauzira kwake, enuresis yoyamba sichikhudza akuluakulu. Kwa munthu wamkulu, kukodza mwadzidzidzi usiku komwe kumachitika mosayembekezereka kumaonedwa ngati yachiwiri enuresis. Kuphatikiza apo, sitilankhula za enuresis pakakhala kusadziletsa kwa mkodzo, kusungidwa kwa mkodzo, kutuluka kwa mkodzo kapena polyuria panthawi ya matenda (makamaka shuga). Kuchedwa kuwongolera kwa sphincter ya chikhodzodzo kumawoneka mwa anthu omwe ali ndi vuto la motor kapena misala sikutchedwanso primary enuresis.
Kochokera ndi zina zowonjezera:
- https://www.urofrance.org/base-bibliographique/enuresie-nocturne-primaire-isolee-diagnostic-et-prise-en-charge-recommandations
- https://www.revmed.ch/RMS/2005/RMS-7/30196