I-enuresis yasebusuku: yintoni, oyena nobangela kunye nento onokuyenza ukunceda

Umxholo

• Izizathu eziphambili ze-enuresis
• Amanyathelo ama-6 okunceda umntwana wakho ukuba angachami ebhedini
• 1. Gcina ukuqiniswa okuqinisekileyo
• 2. Qeqesha ulawulo lomchamo
• 3. Ukuvuka ebusuku ukuyokuchama
• 4. Thatha amayeza aboniswe ngugqirha wabantwana
• 5. Nxiba isivamvo kwiipijama
• 6. Yenza unyango olushukumisayo

I-enuresis yasebusuku ihambelana nemeko apho umntwana ngokungalunganga elahlekelwa ngumchamo ngexesha lokulala, ubuncinci kabini ngeveki, ngaphandle kwengxaki enxulumene nenkqubo yokuchama.

Ukumanzisa ebhedini kuqhelekile phakathi kwabantwana ukuya kuthi ga kwiminyaka emi-3 ubudala, njengoko bengenakuchonga umnqweno wokuya kwigumbi lokuhlambela ukuze uchame okanye abangakwaziyo ukukuphatha. Nangona kunjalo, xa umntwana echamela ebhedini rhoqo, ngakumbi xa engaphezulu kweminyaka emi-3 ubudala, kubalulekile ukumsa kugqirha wabantwana ukuze kwenziwe uvavanyo olunokuthi lubonakalise unobangela we-enuresis yasebusuku.

Izizathu eziphambili ze-enuresis

I-enuresis yasebusuku inokuhlelwa ibe:

• I-enuresis yaseprayimari, xa umntwana ebesoloko efuna i-diapers ukunqanda ukugcotshwa ebhedini, njengoko engazange akwazi ukubamba i-pee ebusuku;
• I-enuresis yesibini, xa ivela njengesiphumo sezinto ezithile ezibangela ukuba umntwana abuyele ebhedini emanzi emva kwexesha lolawulo.

Nokuba luhlobo luni lwe-enuresis, kubalulekile ukuba isizathu siphandwe ukuze olona nyango lufanelekileyo luqaliswe. Oonobangela abaphambili be-enuresis yasebusuku zezi:

• Ukulibazisa ukukhula:abantwana abaqala ukuhamba emva kweenyanga ezili-18, abangazilawuliyo izitulo zabo okanye abanobunzima bokuthetha, kunokwenzeka ukuba bangayilawuli imichamo yabo ngaphambi kweminyaka eyi-5;
• Iingxaki zengqondo:abantwana abanezifo zengqondo ezifana neschizophrenia okanye iingxaki ezinje ngoxinzelelo kunye nokusilela ekuqwalaseleni, abakwazi ukulawula umchamo ebusuku;
• Uxinzelelo:iimeko ezinje ngokwahlukana nabazali, imilo, ukuzalwa komntakwenu kungenza kube nzima ukulawula umchamo ebusuku;
• Seswekile:ubunzima ekulawuleni umchamo bunokudityaniswa nokunxanwa kakhulu kunye nendlala, ukwehla kobunzima kunye nokutshintsha kombono, ezizezinye zeempawu zesifo seswekile.

Kuyenzeka ukuba ukrokrele i-enuresis yasebusuku xa umntwana eneminyaka emi-4 ubudala kwaye esachama ebhedini okanye xa echama ebhedini kwakhona emva kokuchitha ngaphezulu kweenyanga ezintandathu kulawulo lomchamo. Nangona kunjalo, ekuchongeni i-enuresis, umntwana kufuneka avavanywe ngugqirha wabantwana kunye novavanyo oluthile, olufana nokuhlolwa komchamo, iswekile ye-ultrasound kunye novavanyo lwe-urodynamic, olwenziwa kufundo lokugcina, ukuhambisa kunye nokuchitha umchamo, kufuneka kwenziwe.

Amanyathelo ama-6 okunceda umntwana wakho ukuba angachami ebhedini

Unyango lwe-enuresis yasebusuku lubaluleke kakhulu kwaye kufuneka luqaliswe ngokukhawuleza, ngakumbi phakathi kweminyaka emi-6 ukuya kweli-8 ubudala, ukunqanda iingxaki ezinjengokuzikhetha eluntwini, ukungavisisani nabazali, iimeko zokuxhatshazwa kunye nokunciphisa ukuzithemba, umzekelo. Ke, ezinye iindlela ezinokunceda ukunyanga i-enuresis zibandakanya:

1. Gcina ukuqiniswa okuqinisekileyo

Umntwana kufuneka avuzwe ngobusuku obomileyo, ngabo abo xa engakwazi ukuchama ebhedini, ukwangana, ukwanga okanye iinkwenkwezi, umzekelo.

2. Qeqesha ulawulo lomchamo

Olu qeqesho kufuneka lwenziwe kube kanye ngeveki, ukuqeqesha amandla okuchonga imvakalelo yesinyi esipheleleyo. Ngale nto, umntwana kufuneka asele ubuncinci iiglasi ezi-3 zamanzi kwaye alawule umnqweno wokuchama ubuncinci imizuzu emi-3. Ukuba angayithatha, kwiveki ezayo kufuneka athathe imizuzu emi-6 kwaye kwiveki elandelayo, imizuzu eli-9. Injongo kukuba akwazi ukuya ngaphandle kokuchama kangangemizuzu engama-45.

3. Ukuvuka ebusuku ukuyokuchama

Ukuvusa umntwana ubuncinci amaxesha ama-2 ngobusuku ukuze achame sisicwangciso esihle kubo sokuba bafunde ukubamba ipee kakuhle. Kunokuba luncedo ukuchama ngaphambi kokuba ulale kwaye usete ialam evusa iiyure ezi-3 emva kwexesha lokulala. Emva kokuvuka, umntu kufuneka aye kwangoko ukuya kuchama. Ukuba umntwana wakho ulala ngaphezu kweeyure ezingama-6, setha iwotshi ye-alamu kuzo zonke iiyure ezi-3.

4. Thatha amayeza aboniswe ngugqirha wabantwana

Ugqirha wabantwana unokucebisa ukusetyenziswa kwamayeza, anje nge-Desmopressin, ukunciphisa ukuveliswa komchamo ebusuku okanye ukuthatha i-anti-depressants efana ne-Imipramine, ngakumbi kwimeko yokungasebenzi kakuhle okanye ukunqongophala kwengqwalaselo okanye i-anticholinergics, njenge-oxybutynin, ukuba kukho imfuneko.

5. Nxiba isivamvo kwiipijama

Ialam inokusetyenziswa kwiipijama, ezenza isandi xa umntwana echama kwiipijama, ezenza ukuba umntwana avuke kuba inzwa ibona ubukho bepee kwiipijama.

6. Yenza unyango olushukumisayo

Unyango lwenkuthazo kufuneka luboniswe sisayikholojisti kwaye enye yeendlela kukucela umntwana ukuba atshintshe kwaye ahlambe iipijama zakhe kunye nolala nanini na xa echopha ebhedini, ukwandisa uxanduva.

Ngokwesiqhelo, unyango luhlala phakathi kweenyanga ezi-1 ukuya kwezi-3 kwaye lufuna ukusetyenziswa kweendlela ezininzi ngaxeshanye, kunye nokusebenzisana kwabazali kubaluleke kakhulu emntwaneni ukuze afunde ukungachami ebhedini.