Ukunyanzela umntwana ebhodweni okanye ukutyelela ngokuzimela kwindlu yangasese akuqinisekisi ukuba kungabikho iingxaki zokucoca. Ukulawulwa kwalo msebenzi womzimba kusekwa ngokuthe ngcembe, ekugqibeleni kunokubamba kuphela kwiminyaka engama-6 okanye mhlawumbi kamva.
Yintoni i-enuresis?
Eli gama lichazwa njenge-incontinence ye-pathological ineminyaka engama-6-7. I-Enuresis kubantwana ibonakala ngokukhululekileyo ngexesha lokulala ubusuku, kaninzi kangangoko kwenzeka kwimini. Abazali abaninzi kunye nezingane zakudala zesikolo "abazange bacinge imeko echazwe njengesifo, ukhetha ukulinda ukunyamalala okuzimeleyo kwengxaki okanye ukujezisa umntwana.
Iingcali zanamhlanje zinombono ohlukileyo kwaye zibhekwa njengesifo se-enuresis kubantwana - izizathu kunye nokunyangwa kwezi zifo zifundiswa ngokubanzi ngolu hlobo lwezonyango loluntu. Kukho intlangano ekhethekileyo eyenzelwe ukulwa nale nto: I-International Children's Continence Society.
I-Enuresis kubantwana ibangela
Unyango lweli pathologi luphuhliswa kwiinkqubo eziyinkimbinkimbi, ngamnye kumntu ngamnye. Kubalulekile ukubeka isizathu sokuba i-enuresis yabantwana ibenzeke - izizathu zeli qhepha zivame ukubandakanya ukudibanisa kweemeko ezininzi zomzimba nezengqondo. Ukufumana unyango osebenzayo kumntwana othile, kuyimfuneko ukufumana zonke izinto ezingamkelekanga.
I-enuresis yabantwana - i-psychosomatics
Ngokutsho kweengxelo zandululwazi zonyango, ingxaki echazwe idla ngokudibanisa neengxaki zengqondo. Kule nkalo, kuya kufuneka u tyelele isazi sezengqondo xa ufumene u-enuresis kubantwana - izizathu kunye nokunyangwa kwesi sifo zixhomekeke ngokuthe ngqo. Ngaphandle kokuzinzisa imvakalelo engqondweni kunye nokuphelisa iimeko ezixinezelekileyo, unyango olulondolozayo luya kuba luncedo.
I-psychosomatics ye-enuresis kubantwana iquka ezi zinto zilandelayo ezibangelwa ukungabikho kwe-urinary:
- ukuzalwa komntwana wesibini;
- ukuxabana phakathi kwamalungu entsapho;
- ukwahlukana kwabazali;
- kuhamba;
- izindlu ezihluphekileyo kunye nezimo zokuhlala ngokubanzi;
- indawo ephantsi yentlalo;
- ukungena kwi-kindergarten, isikolo okanye utshintsho lweziko;
- ntshutshiso;
- ubudlelwane obutsha, ukutshata kwakhona komama okanye uyise;
- ukuphazamiseka kwengqondo ( autism , Down's syndrome ) kunye nabanye.
Iimbangela zobuntwana bentsholongwane ebusika
Ukungabikho kokuhlala e-Urinary ngexesha lokulala kuthathwa njengento eyahlukahlukileyo kwiminyaka engama-6 ubudala. I-enuresis enye enye ebusika kubantwana ingenzeka kamva, kwiminyaka eyi-7 kunye ne-8, ingakumbi ukuba umntwana osandul 'ukuza esikolweni uye wangena esikolweni okanye wayenobungozi. I-Pathology ifunyanwe kuphela kunye neempawu ezihlala zihlala zihlala zihlala zihlala zihlala zizifo. Izizathu ezinokubangela ukungabikho kwamanzi emzimbeni:
- ukulibala kokuvuthwa kwenkqubo yesiseko yomnyazi okanye ukungahlambuluki kwayo;
- ukuzalwa;
- ukuphazamiseka kwemveliso ye-hormone ye-antidiuretic;
- izifo ezithathelwanayo;
- ukuphazamiseka kwenkqubo ye-genitourinary;
- Ukuthintela isifo sokuthumba (ubusuku);
- ukuphazamiseka okukodwa kwendlela yokuphefumula okanye i-apnea;
- ezinye izifo ze-endocrine (isifo sikashukela, i-hypo-, hyperteriosis);
- nemiphumo emibi yeziyobisi;
- amandla aphantsi asebenzayo;
- umoya obandayo kakhulu kwigumbi lokulala;
- Ukutya ngokutya;
- Umthamo wamanzi otywala ngaphambi kokulala kunye nezinye izizathu.
Usuku lwe-enuresis kubantwana
Olu hlobo lweentsholongwane luyinto engavumelekanga, ngo-4-5 iintsana zikwazi ukulawula ukukhupha ngexesha lokuvusa. Le fomu yesifo isenzeka ngendlela efanayo ne-enureis yasebusuku kubantwana - izizathu kunye nokonyango kwezi zimbini zeengxaki zifana. Olu hlobo lwesifo maxa wambi luvela ngenxa yezifo ezinzulu emzimbeni. Ukungahambisani ne-Urinary kubantwana ngemini kunokuhlakulela ngokusesikweni kwezi zinto zilandelayo:
- izidumbu, i-pathologies ezinzulu zesistim se-nervous central;
- i-craniocebral trauma;
- i-arachnoiditis;
- ukulimala komlenze;
- ukukhubazeka kancinci ;
- myelitis;
- ukukhulelwa kwegazi ;
- ukugula kwengqondo (i-schizophrenia, i-oligophrenia nezinye izizathu);
- iziphoso ze-anatomical ye-urinary system (i-exstrophy, i-hypo-, epispadia, ukuphazamiseka, i-ectopia).
I-Enuresis kubantwana - iimpawu
Ukuchaza ngokucacileyo isifo se-pathology ngokulula, ngokumjonga nje umntwana. Ubusuku bokungabikho komlambo kubantwana kubonakaliswe ngendlela yamaphepha amanzi, ama-panties nama-pajamas emva kokuvusa kusasa. Ingane inokuba neentloni, zama ukufihla impawu "zobugebengu", khawuleza utshintshe iimpahla uze ungene kwindawo yokuhlambela. I-enuresis yamanina emini idlalwa ngexesha lokulala. Ngaphantsi kaninzi umntwana akakwazi ukugcina umchamo ngexesha lokuvusa.
I-Enuresis kubantwana - unyango
Ulwaphulo lwesifo esicatshulwayo luyinkimbinkimbi yamanyathelo okujoliswe ekupheliseni nasiphi na isizathu esenza ukuba kungabikho kwamanzi. Indlela yokuphatha i-enuresis kubantwana, kufuneka ixelele ingcali, ngokusekelwe kuviwo lomntwana, i-anamnesis kunye nemiqondiso ye-pathology ekhoyo. Abazali kufuneka bahlale bexhasa umntwana kwinkqubo yokwenza unyango, abanako ukuhlawuliswa ngenxa yokungabikho okanye ukuhleka umntwana.
Ngumuphi ugqirha ophatha i-enuresis yabantwana?
Udokotela jikelele okanye ugqirha wezilwanyana unoxanduva lokubeka iliso kunye nokuthethelela unyango. Ukufumanisa ukungabikho kwamanzi okungcola kubantwana kubalulekile ukutyelela ezinye iingcali:
- wengqondo;
- endocrinologist;
- nephrologist;
- urologist;
- neurologist;
- kwengqondo okanye i-psychotherapist.
Isixhobo sokunyusa i-enuresis kubantwana
Ukunyangwa kweziyobisi kukhethwe ngokwezinto ezibangela ukungabikho. Ukuba le ngxaki iyisifo esithathelwanayo se-genitourinary system, udinga iiproysipress ze-uroseptic ezivela kwi-enuresis kubantwana nakwii-antibiotics. Ukuqeshwa kwabo kuqhutyelwa kuphela emva kokuhlaziywa kobunjwa be-microflora kumchamo kunye novelwano lwayo kwizidakamizwa ze-antimicrobial.
Indlela eyaziwayo kwaye efanelekileyo evumela ukuyeka i-enuresis yabantwana yonyango nge-analogue yokufakelwa ye-hormone vasopressin (i-desmopressin), elawula ukutywala kunye nokukhutshwa komzimba emzimbeni. Igama loshishino lonyango:
- Mininin;
- Adiuretin-SD;
- Nativa.
Ukuba imbangela yokungahambi kakuhle kwamagciwane yinkinga yengqondo, iingcali zikhetha i-tranquilizers kunye nezikhuthazo ezizinzisa imvelaphi yengqondo kwaye zijonge ukulala kobuthongo:
- Eunotin;
- Triptysole;
- Sidnokarb;
- Elivel;
- Atarax;
- Rudotel;
- Trioxazine nabanye.
Ngokungakhangeli okuchongiweyo kwenkqubo ye-nervous central, izidakamizwa ze-nootropic zicetyiswa unyango:
- Glycine;
- Semax;
- Piracetam;
- I-Instenon;
- I-Phenibut kunye neempawu.
Ulwaphulo lwe-Biofeedback ukungafuni abantwana
Enye yeendlela eziphambili zokunyanga i-enuresis kumntwana yindlela yokuhlaziywa kwe-biofeedback. Ulwaphulo lusetyenziso lweendlela zokusebenzisa izixhobo ezikhethekileyo. Iimvumi ezivakalelwa zixhumene nesigulane esincinane, umdlalo webali we-story uqaliswe kwi-monitor enkulu, umzekelo, ukutshitshiswa kwendawo yokupaka kwabaphambukeli, okanye i-monkey iqokelela amabhanana. Umlingiswa ulawulwa ngulawulo lweentsimbi zeplasvic (ukuphumula kunye nokuxhatshazwa), ngoko baqhuba ngokukhawuleza.
I-Reflexotherapy ye-enuresis kubantwana
Kukho iinguqu ezi-2 zokuchasana kwimiba yezinto eziphilayo ezisemzimbeni. Indlela yokuqala yokuphatha ukunganyaniseki kubantwana kukutyelela ochwepheshe kwi-acupuncture. Olu buchule lungcono kumntwana omdala kuneminyaka engama-9 ubudala, abantwana bayabuhlungu kakhulu ukuba baphendule ekusebenziseni izixhobo ezinzima ngutitshala, banokwesaba baze batyeke ngakumbi.
Inketho yesibini, indlela yokunciphisa i-enuresis kubantwana-ukusungulwa kwebangela kunye nokunyangwa kweempembelelo zomsebenzi. Iinkqubo ziyakwenziwa ekhaya, imihla ngemihla, okwenza umntwana ahlaziye inyawo. Kubalulekile ukuxoqa ngemilenze yakho kwimimandla eboniswe kumfanekiso ongezantsi. Ukuphucula isiliphu seminwe yakho, kucetyiswa ukuba usebenzise nayiphi i-cream cream.
I-Enuresis kubantwana - unyango kunye nezilwanyana zomntu
Elinye ilanga libonisa ukunciphisa ukungabikho komlambo ngoncedo lwezonyango zemvelo. Ezi ndlela zokupheka kufuneka zibhekwe njengeendlela ezisezantsi, indlela yokuphatha i-enuresis yabantwana. Ngaphandle kwonyango oluyinkimbinkimbi, oluqeshwe ngutitshala, kunye nokucacisa okubangela izifo, le ndlela ayiyi kuvelisa umphumo.
Isisombululo seHermal for enuresis kubantwana
Izithako:
- i-centaury - 10 g;
- i-sporish - 10 g;
- I-St. John's Wort - 10 g;
- i-10 g;
- i-chamomile iintyatyambo - 10 g;
- amaqabunga amaqabunga - 10 g;
- amanzi abilayo - 1 l;
- ubusi, ushukela, ujam - ukunambitha.
Ukulungiselela, isicelo
- Hlanganisa imifuno, ugaye ngegrinder yekhofi okanye inkqubo yokutya.
- Beka 30 g yokuqokelela kwi-thermos, uthele amanzi abilayo.
- Ukunyanzelisa amayeza kwiiyure eziyi-8.
- Umphathi wezandla.
- Isiqingatha seyure ngaphambi kwesidlo ngasinye, siphuze i-100 ml yeti ye-herbal kunye ne-sweetener ekhethiweyo.
- Inkqubo yokonyango iinyanga ezintathu. Emva kwesithuba se-10-14-day break, sinokuphindwa.