Ukuxosha ingane embizeni noma ukuvakashelwa okuzimele endlini yangasese akuqinisekisi ukungabikho kwezinkinga zokugcoba. Ukulawulwa kwalokhu umsebenzi womzimba kusungulwa kancane kancane, ekugcineni kungabhalwa kuphela eminyakeni engu-6 noma ngisho nangemva kwalokho.
Kuyini i-enuresis?
Leli gama lichazwa njengokungabikho kwempilo eneminyaka engama-6-7. I-Enuresis ezinganeni ibonakala ikakhulukazi ngesikhathi sokulala ebusuku, kaningi kangako kwenzeka emini. Abazali abaningi nabahlengikazi be "esikoleni esidala" ababheki isimo esichazwe njengesifo, bakhetha ukulinda ukunyamalala okuzimele kwenkinga noma ukujezisa ingane.
Ochwepheshe besikhathi samanje banombono ohlukile futhi babhekwa njengesifo se-enuresis ezinganeni - izimbangela nokuphathwa kwalesi sifo zihlolisiswa ngokuningiliziwe ngumphakathi wezokwelapha oqhubekayo. Kukhona ngisho nenhlangano ekhethekile ezinikele ekulwa nalesi simo: I-International Children's Continence Society.
I-Enuresis ebantwaneni ibangela
Ukwelashwa kwalesi sifo kuthuthukiswa endaweni eyinkimbinkimbi, ngayinye kwimeko ngayinye. Kubalulekile ukusungula ukuthi kungani i-enuresis yezingane isenzekile - izimbangela zalesi simo ngokuvamile zimelela ukuhlanganiswa kwezimo eziningana zomzimba nezingokwengqondo. Ukuthola ukwelashwa okuphumelelayo kwengane ethile, kubalulekile ukuthola zonke izici ezingathandeki.
Enuresis yezingane - psychosomatics
Ngokusho kocwaningo lwamuva kuzingane, inkinga echazwe ivame ukuhlanganiswa nokukhathazeka ngokomzwelo. Mayelana nalokhu, kuzodingeka uvakashele isazi sezengqondo uma utholakala nge-enuresis ezinganeni - izimbangela kanye nokwelashwa kwesifo zisondelene kakhulu. Ngaphandle kokuqinisa isimo sangokomzwelo nokuqeda izimo ezicindezelayo, ukwelashwa okulondolozayo ngeke kusebenze.
I-psychosomatics ye-enuresis ezinganeni ihlanganisa izinto ezilandelayo ezibangelwa ukungahambisani nomugudu:
- ukuzalwa kwengane yesibili;
- izingxabano phakathi kwamalungu omndeni;
- isihlukaniso sabazali;
- ukuhamba;
- izindlu ezimbi kanye nezimo zokuphila zomphakathi;
- isimo senhlalo esincane;
- ukungena enkulisa, esikoleni noma ekushintsheni isikhungo;
- ukushushiswa;
- ubudlelwane obusha, ukushada kabusha komama noma ubaba;
- ukuphazamiseka kwengqondo (i- autism , i- Down's syndrome ) nezinye.
Izimbangela ze-enuresis yobuntwana besilisa
Ukungahambi kahle kwe-urinary ngenkathi ubuthongo kubhekwa njengendlela ehlukile yokujwayelekile kuze kube yiminyaka engu-6 ubudala. U-enuresis ongashadile wezinsuku ezinganeni zingase zenzeke kamuva, eminyakeni engu-7 no-8, ikakhulukazi uma ingane encane isanda esikoleni noma ifakwe eminye imiphumela ecindezelayo. I-pathology iyatholakala kuphela ngezibonakaliso zansuku zonke noma zansuku zonke zesifo. Izimbangela ezikhona zokungabikho komzimba ezinganeni:
- ukuphuza kokuvuthwa kwesistimu yezinzwa eziphakathi noma ukungahlali kwayo;
- ukufeza;
- ukuphazamiseka kokukhiqizwa kwe-hormone ye-antidiuretic;
- izifo ezithathelwanayo;
- ukuphazamiseka kwesistimu ye-genitourinary;
- Ukuqothulwa kwesibindi (ubusika);
- ukuvinjelwa okuyingxenye yenqubo yokuphefumula engenhla noma i-apnea;
- ezinye izifo ze-endocrine (isifo sikashukela, i-hypo-, hyperteriosis);
- imiphumela emibi yezidakamizwa;
- amandla okusebenza okuphansi kwesisindo;
- umoya obandayo kakhulu ekamelweni;
- Ukudla ngokweqile;
- amanzi amaningi ngokweqile ngaphambi kokulala kanye nezinye izizathu.
I-enuresis yasebusuku ezinganeni
Lokhu kuhlukahluka kwegazi kuyinto engavamile kakhulu, uma uneminyaka engama-4-5 izinsana zingakwazi ukulawula isifiso sokuvuthwa ngesikhathi sokuvuka. Leli fomu lesi sifo livela ngendlela efanayo ne-enuresis yasebusuku ebantwaneni - izimbangela kanye nokwelashwa kokubili izinhlobo zezinkinga zifana. Lolu hlobo lwesifo ngezinye izikhathi luvela ngenxa yezifo ezinzima emzimbeni. Ukungabikho kwe-urinary ezinganeni ngesikhathi sosuku kungathuthuka ngokumelene nesizinda sezici ezilandelayo:
- izifo, izifo ezinamandla zesimiso sezinzwa eziphakathi;
- i-craniocerebral trauma;
- i-arachnoiditis;
- ukulimala komgogodla;
- i-infantile ye-cerebral palsy ;
- i-myelitis;
- i-anemia ;
- ukugula ngengqondo (schizophrenia, oligophrenia nezinye izimbangela);
- izifo ezingavamile ze-urinary system (i-exstrophy, hypo-, epispadia, ukuvimbela, i-ectopia).
Enuresis ezinganeni - izimpawu
Ukuze kuchazwe ngokucacile ukuhlushwa kwemithi, ngokumane ugcine ingane. Ukungabikho kokuhlwa kwe-urine ezinganeni kubonakala ngendlela yamashidi amanzi, ama-panties nama-pajama ngemva kokuvuka ekuseni. Ingane ingaba namahloni kakhulu, zama ukufihla umkhondo we "ubugebengu", masishintshe izingubo futhi ungene endlini yokugezela. I-enuresis ye-infantile yasemini ivame ukuvela ngesikhathi sokulala. Ngaphansi kaningi ingane ingakwazi ukugcina umchamo ngesikhathi sokuvuka.
Enuresis ezinganeni - ukwelashwa
Ukwelashwa kwesifo esibucayi kuyinkimbinkimbi yezinyathelo ezihlose ukuqeda noma yiziphi izimbangela ezibangelwa ukungabikho komzimba. Indlela yokwelapha i-enuresis ezinganeni, kufanele ukwazise ochwepheshe, ngokususelwa ekuhlolweni kwengane, i-anamnesis kanye nezimpawu ze-pathology ezikhona. Abazali badinga ukusekela njalo ingane enqubo yokwelashwa, abakwazi ukujeziswa ngenxa yokungena noma ukuhleka ingane.
Ngumuphi udokotela ophatha i-enuresis yezingane?
Udokotela noma udokotela wezingane unesibopho sokuqapha nokwelapha ngqo. Ukuze uhlolisise ukungahambi kahle kwamagciwane ezinganeni kubalulekile ukuvakashela abanye ochwepheshe:
- i-psychiatrist;
- i-endocrinologist;
- i-nephrologist;
- i-urologist;
- i-neurologist;
- isazi sezengqondo noma isazi se-psychotherapist.
Isixazululo se-enuresis ezinganeni
Ukwelashwa kwezidakamizwa kukhethwe kuye ngezimbangela zokungaziphathi kahle. Uma inkinga i-lesion esithathelwanayo yesistimu ye-genitourinary, udinga amaphilisi we-uroseptic avela ku-enuresis ezinganeni nakwezokwelapha. Ukuqokwa kwabo kwenziwa kuphela emva kokuhlaziywa kokubunjwa kwe-microflora emcinini nokuzwela kwayo kwezidakamizwa ezilwa namagciwane.
Indlela ethandwa kakhulu futhi ephumelelayo evumela ukuthi umise i-enuresis yezingane yindlela yokwelapha nge-analogue yokufakelwa ye-hormone vasopressin (desmopressin), elawula ukumuncwa nokuvikela uketshezi komzimba. Igama lebhizinisi lomuthi:
- Mininin;
- I-Adiuretin-SD;
- Nativa.
Uma imbangela yokungahlambuluki kwamagciwane kungukuphazamiseka kwengqondo, lochwepheshe ukhetha ukuthula nokuvuselela okuqinisa isimo sangokomzwelo nokuqinisekisa ukujula kokulala kokwelashwa:
- I-Eunotin;
- I-Triptysole;
- I-Sidnokarb;
- Elivel;
- I-Atarax;
- I-Rudotel;
- I-Trioxazine nezinye.
Ngokungahlanjululwa okubonakalayo kwesistimu yezinzwa zomphakathi, izidakamizwa ze-nootropic zinconywa ukwelashwa:
- I-Glycine;
- I-Semax;
- I-Piracetam;
- I-Instenon;
- I-Phenibut ne-analogs.
Ukwelashwa kwe-biofeedback ukungaziphathi kahle ezinganeni
Enye yezindlela ezithuthuka kakhulu zokuphulukisa i-enuresis enganeni yindlela ye-biofeedback. Ukwelapha ukusebenza kokuzivocavoca usebenzisa idivayisi ekhethekile. Izinzwa ezizwelayo zixhunywe nesiguli esincane, umdlalo we-arcade we-story uqaliswa kumqapha omkhulu, isibonelo, ukudubula okuphambene nezikhala endaweni yabafokazi, noma i-monkey ukuqoqa ubhanana. Umlingiswa ulawulwa ukulawulwa kwemisipha ye-pelvic (ukuphumula nokucindezeleka), ngakho bayashesha ukuqeqesha.
I-Reflexotherapy ye-enuresis ezinganeni
Kunezinhlobo ezimbili zokuchayeka kwamaphuzu asebenzayo emzimbeni. Indlela yokuqala yokwelapha ukungathembeki ezinganeni ukuvakashela isazi ngokukhishwa. Le nqubo ingcono kwengane eneminyaka engaphezu kwengu-9 ubudala, izingane zibuhlungu kakhulu ukuphendula ekusetshenzisweni kwemishini eqondile yi-therapist, zingase zibe nokwesaba futhi zithole ukucindezeleka okwengeziwe.
Ukhetho lwesibili, indlela yokukhulula i-enuresis ezinganeni - ukusungulwa kwesizathu nokuphathwa kwemiphumela emibi. Izinqubo zingenziwa ekhaya, nsuku zonke, ukwenza izinyawo zokugaya ingane. Kudingeka ukugcoba ngobumnene imilenze yakho ezindaweni eziboniswe kumfanekiso ngezansi. Ukuze uthuthukise isilayidi seminwe yakho, kutuswa ukuba usebenzise noma yikuphi ukhilimu wamafutha.
I-Enuresis ezinganeni - ukwelashwa ngamakhambi abantu
Imithi yokwelashwa ehlukile iphakamisa ukunciphisa ukungabikho komchamo ngosizo lwemithi yemithi yemvelo. Lezi zokupheka kufanele zibhekwe njengezindlela ezihambisanayo, indlela yokuphatha i-enuresis yabantwana. Ngaphandle kokwelashwa okuyinkimbinkimbi, okhethwe ochwepheshe, nokucacisa izimbangela eziqondile zalesi sifo, le ndlela ngeke ivelise umphumela olindelekile.
Ikhambi le-Herbal for enuresis ezinganeni
Izithako:
- centaury - 10 g;
- i-sporish - 10 g;
- I-St John's Wort - 10 g;
- isisindo - 10 g;
- chamomile izimbali - 10 g;
- amaqabunga e-birch - 10 g;
- amanzi abilayo - 1 l;
- uju, ushukela, ujamu - ukunambitha.
Ukulungiselela, uhlelo lokusebenza
- Hlanganisa ama-herbs, uwafake nge-grinder yekhofi noma inqubo yokudla.
- Beka i-30 g yeqoqo e-thermos, uthele amanzi abilayo.
- Ukumisela imithi amahora angu-8.
- Umphathi wokucindezela.
- Half ihora ngaphambi kokudla ngakunye, uphuze i-100 ml yetiye ye-herbal ne-sweetener ekhethiwe.
- Inkambo yokwelashwa yinyanga ezintathu. Ngemuva kokuphumula kwezinsuku ezingu-10-14, kungabuyekezwa.