Mukati
Primary enuresis: tsananguro
Tinodaidza kuti enuresis involuntary weti, inowanzoitika panguva yehusiku, pazera apo utsanana hunofanirwa kuwanikwa zvizere, nemamwe mazwi kupfuura makore mashanu. Primary enuresis inoitika mumwana asina kumbobvira akwanisa kudzora dundira rake sphincters, nepo yechipiri enuresis kunoitika pashure peinenge mwedzi mitanhatu yeweti, pasina tsaona dzerudzi rwe“weti pamubhedha”; kureva kuti mumwana anotanga kunyorova mubhedha zvakare mushure mekunge awana hutsanana.
Ndezvipi zvikonzero zvekutanga enuresis muvana?
Mumwana ane enuretic, yekutanga enuresis inogona kunge yakabatana ne:
- kunonoka kukura kwedundira;
- nocturnal polyuria, kureva kuti yakawandisa weti kugadzirwa panguva yehusiku nekuda kwekuderera kwekugadzirwa kweiyo anti-diuretic hormone;
- diki pane avhareji kana overactive dundira;
- "chikumbaridzo chekumuka" chepamusoro, kureva kuti mwana anomuka zvakanyanya kuoma pakati peusiku, paanenge ari muhope huru, uye chido chekuita weti hachina kukwana kuvhiringidza;
- Kufarirwa kwemhuri uye nekudaro nhaka yekuzvarwa zvinhu, ine enuresis mukukwira vanhu mu30 kusvika 60% yezviitiko.
Ziva kuti zvimwe zvepfungwa kana zvemagariro-mhuri zvinogona kukonzeresa, kuchengetedza kana kuwedzera enuresis.
Inguva dzose masikati kana usiku?
Kuitira weti pamubhedha kunowanzoita usiku, kutsvuka pamubhedha panzvimbo pechimiro chokusazvidzora weti, nokubuda kweweti, kana kuti hosha dzeweti. THE'diurnal primary enuresis inogona kunge iri chiratidzo chemamiriro ekunze, akadai seshuga, kana ane chekuita nekunonoka kukura kwedundira. Kana iri zvese zvemasikati nehusiku, primary enuresis inofanirwa kukurumidza kuonana kuti ione chikonzero (s), uye kuigadzirisa zvinoenderana.
Ndeupi musiyano uripo pakati pekutanga uye yechipiri enuresis?
Kuitira weti pamubhedha kunokosha kana kusina kutangirwa nechiitiko chorucheno, nguva iyo mwana anga akachena kwemwedzi inenge mitanhatu.
Apo enuresis inoitika mushure menguva apo mwana anga akachena, inonzi yechipiri enuresis. Izvi zvinowanzotanga pakati pemakore mashanu ne5, asi zvinogonawo kuitika gare gare, kunyanya mukuyaruka.
Kurapa uye mhinduro dzekutanga enuresis
Kurapa kweenuresis yakavakirwa pakutanga pane zvese pakugadzwa kwe hygiene-dietetic matanho zviri nyore, zvakadai sekutarisa kuti unonwa zvakadini usati warara, uye kupinda mutsika yekuenda kuchimbuzi usati warara.
Matanho edzidzo, akadai kuchengeta karenda yekusashanda, neusiku “hwakaoma” uye “kunyorova,” kungashandawo pakudzivisa weti pamubhedha. Iyo "stop pee", alarm system inotarisirwa kumutsa mwana kubva padonhwe rekutanga reweti mumucheka wake, inokakavara asi inogonawo kushanda.
Padanho rezvinodhaka, kurapa kukuru kunorayirwa desmopressin (Minirin®, Nocutil®), asi haina kurongeka.
Ndeipi nyanzvi yekubvunza?
Pakutanga, takatarisana nekutanga enuresis muvana, chiremba mukuru kana chiremba wevana achabvunzurudzwa, uyo achatsvaga chingangokonzera chikonzero (s), uye achabvisa kana kusaongororwa kweprimary nocturnal enuresis inobatanidza ne diurnal voiding disorders. kana enuresis masikati. Nekuti manejimendi haana kufanana kana iri yega primary nocturnal enuresis (ENPI) kana kuti nocturnal enuresis yakabatana nefomu yemasikati. General practitioner kana chiremba wevana vanokwanisa chaizvo kurapa enuresis yekutanga kana isingabatanidzwe neiyo yakaoma pathology kana zvikonzero zvepfungwa. Nyanzvi yezvehutano inobva yataura kune waanoshanda naye (urologist, chiremba wevana, chiremba wepfungwa dzevana, psychologist, nezvimwewo) kana enuresis ichida kunyatsotevera kutevera.
Homeopathy inoshanda here?
Pane pasina mubvunzo zvakawanda zvipupuriro zvinoratidza kuti homeopathy yakaita kuti zvibvirire kugumisa yekutanga enuresis. Zvisinei, mishonga yekuwedzera yakadai se hypnosis, homeopathy, acupuncture kana chiropractic haina kuratidza kushanda kwavo, zvichida maererano neFrench Association of Urology. Pane zvidzidzo zvakawanda pamusoro penyaya iyi, asi mubatanidzwa unozviona zvisina kuomarara padanho remethodological. Asi hapana chinodzivisa kuedza, kunyanya mukufanana kana kuti kukundikana kwemaitiro ekurapa.
Ko primary enuresis inogona kukanganisa vanhu vakuru here?
Netsanangudzo yayo chaiyo, yekutanga enuresis haina kukanganisa vanhu vakuru. Mumunhu mukuru, kuita weti isingadiwe mukati mehusiku inoitika zvisingatarisirwi ingangonzi yechipiri enuresis. Uyezve, hatitauri nezve enuresis kana paine weti incontinence, weti kuchengetwa, weti kubuda kana kunyange polyuria mumamiriro echirwere chechirwere cheshuga (kunyanya chirwere cheshuga). Iko kunonoka kutonga kwedundira sphincter inoonekwa muvanhu vane mota kana kukanganisa kwepfungwa hakunziwo primary enuresis.
Kwakabva uye rumwe ruzivo:
- 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