Kuzvidzivirira mwana kuhari kana kushanyira zvakasununguka kuchivanze hazvirevi kuti kusavapo kwematambudziko ekudhonza. Kudzora kwebasa iri remuviri kunogadziridzwa zvishoma nezvishoma, pakupedzisira rinogona kumira mumakore matanhatu kana kunyange zvishoma gare gare.
Chii chinonzi enuresis?
Izwi iri rinotsanangurwa sechirwere chinonzi incontinence muzera remakore 6-7. Enuresis muvana inoratidzwa kunyanya panguva yehope dzorara, kazhinji inowanzoitika masikati. Vabereki vakawanda uye vanachiremba ve "chikoro chakare" havafungi kuti chirwere chinorondedzerwa sechirwere, kusarudza kumirira kuzvimiririra kuzvimiririra kwechinetso kana kuranga mwana.
Nyanzvi dzemazuva ano dzinoona maonero akasiyana uye dzinoonekwa sechirwere che enuresis muvana - zvinokonzera uye kurapwa kwechirwere ichi zvinodzidzwa zvakadzama nehuwandu hwezvehutano hwevanhu. Kune rimwe sangano rakasarudzirwa rakagadzirirwa kurwisana nechiitiko ichi: International Children's Continence Society.
Enuresis muvana inokonzera
Kurapa kwechirwere ichi kunogadziridzwa mumatambudziko, mumwe nomumwe pane imwe nyaya. Zvakakosha kusimbisa kuti sei vana ve enuresis vakatoitika - zvikonzero zvechiitiko ichi kazhinji zvinomiririra kusanganiswa kwezviitiko zvakasiyana-siyana uye zvepfungwa. Kuti uwane mushonga unobatsira mumwe mwana, zvakakosha kuwana zvose zvisingafadzi zvinhu.
Enuresis yevana - psychosomatics
Maererano nekuongorora kwemazuva ano mukurapa, dambudziko rinotsanangurwa rinowanzobatanidzwa nekusawirirana mupfungwa. Panyaya iyi, iwe unofanirwa kushanyira mudzidzi wepfungwa paanoongororwa ne enuresis muvana - zvinokonzera uye kurapwa kwechirwere zviri pedyo nekuzvidzivirira. Pasina kugadzirisa manzwiro evanhu uye kubvisa matambudziko anokonzera, chirwere chekuchengetedza chichave chisingabatsiri.
I-psychosomatics ye enuresis muvana inosanganisira zvinhu zvinotevera zvinokonzera urinary incontinence:
- kuberekwa kwechipiri mwana;
- kukakavara pakati pemhuri;
- kurambana kwevabereki;
- moving;
- dzimba dzine hurombo uye mamiriro ehupenyu hwevanhu;
- low status social;
- kubvuma kuchikoro chechikoro, kuchikoro kana kuchinja kwechikoro;
- kutambudzwa;
- hukama hutsva, kuroorwa zvakare kana amai kana baba;
- Matambudziko epfungwa ( autism , Down's syndrome ) uye vamwe.
Zvinokonzerwa nehucheche hwehusiku hunopera enuresis
Urinary incontinence panguva yokurara inonzi inofananidzwa nemusikirwo kusvika kumakore matanhatu. Imwe nyanzvi inoberekwa inuresis muvana inogona kuitika gare gare, pamakore manomwe nemakore masere, kunyanya kana mwana mudiki achangobva kuenda kuchikoro kana kuti akabatwa kune zvimwe zvinonetsa zvinokonzera. Pathology inowanikwa chete nezviratidzo zvekusingaperi kana zvezuva nezuva zvechirwere. Zvinokonzera kukonzera urinary kusagadzikana muvana:
- kukanganisa kwekutsvaga kwehutano hwepakati yenheyo yehurumende kana kusakwana kwayo;
- hutano;
- kushungurudzika kwekugadzira antidiuretic hormone;
- zvirwere zvinotapukira;
- kukanganiswa kwe genitourinary system;
- kuputika kwepfungwa (manheru);
- kuvhara zvikamu zvepamusoro yepamusoro kana kupemha;
- zvimwe zvirwere zvekupedzisira (chirwere cheshuga, hypo-, hyperteriosis);
- migumisiro yemishonga;
- kushanda kwakadzika kwebasa;
- mweya unotonhorera muimba yekurara;
- Kunyanya kudya;
- kunyanyisa mvura inodhakwa asati avata uye zvimwe zvikonzero.
Zuva rezuva inuresis muvana
Izvi zvakasiyana-siyana zvehutachiwana hazviwanzovi, nezera remakore 4-5 vana vanogona kutotora chido chekudzora panguva yekumuka. Ichi chimiro chechirwere chinowanikwa nenzira imwecheteyo seancturnal enuresis muvana - izvo zvinokonzera uye kurapwa kwemarudzi ose ematambudziko zvakafanana. Iro rudzi rwechirwere dzimwe nguva runoitika nekuda kwezvimwe zvinetso zvakakomba mumuviri. Urinary incontinence kuvana panguva yemasikati inogona kukurwisana nechekuita kwezvinhu zvinotevera:
- matumbo, chirwere chakakomba chepakati penheyo;
- craniocerebral trauma;
- arachnoiditis;
- kugunzva kwepamuviri;
- infantile cerebral palsy ;
- myelitis;
- anemia ;
- chirwere chepfungwa (schizophrenia, oligophrenia nezvimwe zvinokonzera);
- anatomical defects ye urinary system (exstrophy, hypo-, epispadia, kudzivisa, ectopia).
Enuresis muvana - zviratidzo
Kufananidza tsanangudzo yezvirwere nyore nyore, kungocherechedza mwana. Usiku hunoita kuti urini muvana huratidzwe mumhando yemashizha, mashizha uye mapajamas mushure mekumuka kwekumuka. Mwana anokwanisa kunyara kwazvo, edza kuvanza maitiro e "utsotsi", nekukurumidza kuchinja zvipfeko uye kupinda muimba yekugezera. Masikati masikati infantile enuresis anowanzoitika panguva yepasi. Pashoma kakawanda mwana haakwanisi kuchengeta urini panguva yekumuka.
Enuresis muvana - kurapwa
Utachiona hwehutano hunofungidzirwa hutano hwakaoma hwehutano hunotarisirwa kubvisa chero zvikonzero zvinokonzera urinary incontinence. Nzira yekurapa enuresis muvana, inofanira kuzivisa nyanzvi, inobva pakuongororwa kwechecheche, anamnesis uye zviratidzo zviripo zvehutano. Vabereki vanofanira kugara vachitsigira mwana mukurapa kwekurapa, havakwanisi kurangwa nekuda kwekusagadzikana kana kuseka mwana.
Ndeupi chiremba anotarisa vana enuresis?
Mumwe mutungamiri kana vanachiremba vevana ane mutoro wekutarisa uye kutungamirira kurapa. Kuti uongorore urinary incontinence kuvana zvinokosha kuti tishanyire vamwe vanyori:
- chipatara;
- endocrinologist;
- nephrologist;
- urologist;
- neurologist;
- nyanzvi yezvepfungwa kana mupfungwa wepfungwa.
Mushonga we enuresis muvana
Kurapa zvinodhaka kunosarudzwa zvichienderana nezvinokonzerwa nekusaziva. Kana dambudziko iri chirwere chinotapukira che genitourinary system, unoda uroseptic mapiritsi kubva enuresis muvana nemishonga inorwisa mabhakitiriya. Kusarudzwa kwavo kunoitwa mushure mokunge kuongororwa kwehuwandu hwe microflora mumuguta uye kunzwisiswa kwemishonga inorwisa mishonga.
Nzira yakakurumbira uye inobudirira iyo inobvumira kusimisa enuresis yevana inorapwa neanoriginal anogue ye hormone vasopressin (demopressin), iyo inodzora kunwa uye kuchengetedzwa kwemvura mumutumbi. Zita rebhizimisi remishonga:
- Mininin;
- Adiuretin-SD;
- Nativa.
Kana chinokonzera urinary incontinence ndechirwere chepfungwa, nyanzvi inosarudza runyararo uye zvinokurudzira zvinogadzirisa manzwiro evanhu uye zvinowedzera kubata kwekurara kwekurapa:
- Eunotin;
- Triptysole;
- Sidnokarb;
- Erivel;
- Atarax;
- Rudotel;
- Trioxazine uye vamwe.
Nekusava nekuonekwa kwakasarudzwa kwenheyo yenheyo yepamusoro, zvinodhaka zve nootropic zvinokurudzirwa kurapwa:
- Glycine;
- Semax;
- Piracetam;
- Instenon;
- Phenibut uye mifananidzo.
Biofeedback therapy nokuda kwekudzivirira vana
Imwe yenzira dzinofambira mberi yekurapa enuresis mumwana ndiyo nzira ye biofeedback. Kurapa ndiko kushanda kwezvidzidzo uchishandisa majekiti anokosha. Sensiti dzinonzwa dzakabatanidzwa nemurwere muduku, nhau yemasikari yemutambo inotangwa pane guru guru, somuenzaniso, nzvimbo yekuputika kuputi kune vatorwa, kana monkey kuunganidza bhanana. Unhu hunotungamirirwa nekutarisa kwemafupa epasi pasi (kupembera uye kubata), saka vanokurumidza kudzidzisa.
Reflexotherapy for enuresis muvana
Pane zvipimo zviviri zvekutsvaga kuzvinhu zvinoshandiswa zvehupenyu muhutano. Nzira yekutanga yekurapa kusava nevana mukushanyira imwe nyanzvi mukugadzirisa. Iyi nzira iri nani kumwana akwegura kupfuura makore gumi nemashanu, vana vane marwadzo anoremekedzwa kupindura kushandiswa kwemishonga yakaoma nemuongorori, vanogona kutya uye kuwedzera kuora mwoyo.
Chechipiri sarudzo, nzira yekudzivirira inuresis muvana - kugadziriswa kwechikonzero uye kurapa kwehuwandu hwehuwandu. Nzira dzinogona kuitwa pamba, zuva nezuva, zvichiita kuti mwana anyoroke tsoka. Zvakakosha kupfugama nemakumbo ako zvishoma munzvimbo dzakaratidzwa mumufananidzo uri pasi apa. Kuti uvandudze kuputika kweminwe yako, zvinokurudzirwa kushandisa chero mafuta ekisi.
Enuresis muvana - kurapwa nemishonga yevanhu
Kurapa kwakasiyana-siyana kunokurudzira kuderedza kusagadzikana kwemuti nerubatsiro rwemishonga yemishonga yemasikirwo. Mapoka akadaro anofanirwa kutaridzirwa senzira dzokuchera, nzira yekurapa vana enuresis. Pasina kuoma kurapwa, yakagadzwa neyanzvi, uye kujekesa zvikonzero chaiyo zvechirwere ichi, nzira iyi haigoni kuunza zvinotarisirwa.
Mishonga yemishonga ye enuresis muvana
Zvisungo:
- centaury - 10 g;
- sporish - 10 g;
- St. John's Wort - 10 g;
- mint - 10 g;
- chamomile maruva - 10 g;
- birch mashizha - 10 g;
- mvura inopisa - 1 l;
- uchi, shuga, jamu - kuravira.
Kugadzirira, kushanda
- Sakanidza mishonga, uvaye nefivha yekhofi kana kudya kweprogorosi.
- Isai 30 g yekuunganidza mu thermos, dhirai mvura inopisa.
- Simbisa mishonga kwemaawa masere.
- Kushungurudza mutambi.
- Half awa imwe chete musati wadya, inwa 100 ml yeaiti yetimu nekunakidza yakasarudzwa.
- Nzira yekurapa mwedzi mitatu. Mushure memakore 10-14-zuva, rinogona kudzokororwa.