Ukwaluka ebhedini

Ukubetheka ebhedini okanye i-enuresis yasebusuku kuxa umntwana emanzisa ukhuko ebusuku ngaphezulu kokuphindwe kabini ngenyanga emva kweminyaka emi-5 okanye esi-6.

Inqanaba lokugqibela loqeqesho lwendlu yangasese lihlala lome ebusuku. Ukuze uhlale womile ebusuku, ingqondo yomntwana wakho kunye nesinyi kufuneka kusebenze kunye ukuze umntwana wakho avuke aye kwindlu yangasese. Abanye abantwana bakhulisa obu buchule mva kunabanye.

Ukutsarhwa ebhedini kuyinto exhaphakileyo. Izigidi zabantwana eUnited States zimanzisa ukhuko ebusuku. Ngeminyaka emi-5, ngaphezulu kwe-90% yabantwana bomile emini, kwaye ngaphezulu kwama-80% bahlala bomile ubusuku bonke. Ingxaki ihlala ihamba ngokuhamba kwexesha, kodwa abanye abantwana basamanzisa ibhedi kubudala be-7, okanye nangaphezulu. Kwezinye iimeko, abantwana kunye nenani elincinci labantu abadala, bayaqhubeka nokuba neziqendu zokulalisa umbhede.

Ukonyuka kweebhedi nako kuqhubeka kwiintsapho. Abazali abamanzisa ibhedi njengabantwana kunokwenzeka ukuba babe nabantwana abamanzisa ibhedi.

Zimbini iintlobo zokukrokra ebhedini.

• I-enuresis yaseprayimari. Abantwana abangazange bomiswe rhoqo ebusuku. Oku kwenzeka rhoqo xa umzimba usenza umchamo ngaphezulu ubusuku bonke kunokuba isinyi sinokubamba, kwaye umntwana akavuki xa isinyi sizele. Ingqondo yomntwana ayifundanga ukuphendula kumqondiso wokuba isinyi sigcwele. Ayilotyala lomntwana okanye lomzali. Esi sesona sizathu sixhaphakileyo kukothuka ebhedini.
• I-enuresis yesibini. Abantwana abomileyo iinyanga ezi-6 ubuncinci, kodwa baphinda baqala ukondla ebhedini. Zininzi izizathu zokuba abantwana bamanzise ukhuko emva kokuba beqeqeshwe ngokupheleleyo kwindlu yangasese. Kungaba ngokwasemzimbeni, ngokweemvakalelo, okanye kutshintsho nje lokulala. Oku akuqhelekanga, kodwa ayisiyompazamo yomntwana okanye yomzali.

Ngelixa lingaqhelekanga kakhulu, oonobangela bokubethelwa ebhedini kunokubandakanya:

• Izilonda zomqolo osezantsi
• Iziphene zokuzalwa kwephecana le-genitourinary
• Usulelo lomjelo womchamo
• Seswekile

Khumbula ukuba umntwana wakho akanakulawula ukunxila. Ke, zama ukuba nomonde. Umntwana wakho naye unokuziva eneentloni kwaye uneentloni ngayo, ke xelela umntwana wakho ukuba abantwana abaninzi bamanzise ibhedi. Yazisa umntwana wakho ukuba ufuna ukunceda. Ngaphezu kwako konke, sukumohlwaya umntwana wakho okanye ungayikhathaleli ingxaki. Akukho ndlela iya kunceda.

Thatha la manyathelo ukunceda umntwana wakho oyise ukothuka ebhedini.

• Nceda umntwana wakho aqonde ukungabambi umchamo ixesha elide.
• Qinisekisa ukuba umntwana wakho uya kwindlu yangasese ngamaxesha aqhelekileyo emini nasebusuku.
• Qiniseka ukuba umntwana wakho uya kwindlu yangasese ngaphambi kokuba alale.
• Kulungile ukunciphisa isixa solwelo oluselwa ngumntwana wakho kwiiyure ezimbalwa ngaphambi kokuba alale. Musa ukuyibaxa.
• Buyekeza umntwana wakho ngobusuku obomileyo.

Usenokuzama ukusebenzisa ialam yokutshiza ebhedini. Ezi alamu zincinci kwaye kulula ukuzithenga ngaphandle kommiselo. Iialamu zisebenza ngokuvusa abantwana xa beqala ukuchama. Emva koko banokuphakama basebenzise igumbi lokuhlambela.

• Iialamu zokuhambisa amanzi zisebenza kakuhle xa uzisebenzisa qho ebusuku.
• Uqeqesho lwe-alamu lungathabatha iinyanga ezininzi ukusebenza ngokufanelekileyo.
• Nje ukuba umntwana wakho omile iiveki ezi-3, qhubeka nokusebenzisa ialam emva kwezinye iiveki ezi-2. Emva koko yima.
• Kuya kufuneka uqeqeshe umntwana wakho ngaphezu kwesinye.

Usenokufuna ukusebenzisa itshathi okanye ugcine idayari abantwana bakho abanokuyiphawula ntsasa nganye xa bevuka bomile. Oku kuluncedo ngakumbi kubantwana, abaneminyaka emi-5 ukuya kweli-8 ubudala. Iidayari zikuvumela ukuba ubone iipateni kwimikhwa yomntwana wakho enokukunceda. Unokubonisa le dayari kugqirha womntwana wakho. Bhala phantsi:

• Xa umntwana wakho echama ngesiqhelo emini
• Naziphi na iziqendu zokumanzisa
• Into etyiwa nokuselwa ngumntwana wakho emini (kubandakanya nexesha lokutya)
• Xa umntwana wakho elele, eya kulala ebusuku, kwaye uvuka kusasa

Soloko wazisa umboneleli wezempilo yomntwana wakho ngazo naziphi na iziqendu zokukrakra ebhedini. Umntwana kufuneka enze uvavanyo lomzimba kunye novavanyo lomchamo ukukhusela usulelo lwe-urinary tract okanye ezinye izizathu.

Nxibelelana nomboneleli womntwana wakho ngoko nangoko ukuba umntwana wakho uneentlungu ngokuchama, umkhuhlane, okanye igazi kumchamo. Oku kunokuba yimpawu yosulelo oluya kufuna unyango.

Kuya kufuneka ubize umnikezeli womntwana wakho:

• Ukuba umntwana wakho womile iinyanga ezi-6, emva koko waqala ukondla ebhedini kwakhona. Umboneleli uya kujonga unobangela wokunkcenkceshelwa ebhedini ngaphambi kokucebisa unyango.
• Ukuba ukhe wazama ukuzinyamekela ekhaya kwaye umntwana wakho usamanzisa ibhedi.

Ugqirha womntwana wakho unokukunika amayeza abizwa ngokuba yi-DDAVP (desmopressin) ukunyanga ukothuka ebhedini. Iya kunciphisa inani lomchamo oveliswe ebusuku. Inokumiselwa ixesha elifutshane lokulala, okanye ukusetyenziswa kwexesha elide kwiinyanga. Abanye abazali bafumanisa ukuba ii-alamu zokukhawulela ebhedini kunye namayeza zisebenza kakuhle. Umboneleli wakho womntwana uya kusebenza nawe ukufumana isisombululo esifanelekileyo kuwe nakumntwana wakho.

Ukuqinisekisa; I-enuresis yasebusuku

ICapdevilia OS. I-enuresis enxulumene nokulala. Ku: Sheldon SH, Ferber R, Kryger MH, Gozal D, ii-eds. Imigaqo kunye nokuziqhelanisa noNyango lokulala kwabantwana. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 13.

Umdala JS. Ukuqinisekisa kunye nokungasebenzi kakuhle. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; 2020: isahluko 558.

Leung AKC. I-enuresis yasebusuku. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2020. IPhiladelphia, PA: Elsevier; Ngo-2020: 1228-1230.

• Ukwaluka ebhedini