Okuqukethwe
I-enuresis eyinhloko: incazelo
Sibiza i-enuresis ukuchama ngokuzenzakalelayo, okwenzeka kaningi ebusuku, eminyakeni lapho ukuhlanzeka kufanele kutholwe ngokugcwele, ngamanye amazwi ngaphezu kweminyaka emi-5. I-enuresis eyinhloko kwenzeka enganeni engakaze ikwazi ukulawula ama-sphincters esinyeni, ngenkathi i-enuresis yesibili kwenzeka ngemva kwezinyanga eziyisithupha zokuchama, ngaphandle kwezingozi zohlobo “lokuchama”; okusho ukuthi enganeni ephinde iqale ukumanzisa umbhede ngemuva kokuthola inhlanzeko.
Yiziphi izimbangela ze-enuresis eyinhloko ezinganeni?
Enganeni ene-enuretic, i-enuresis yokuqala ingase ihlobane ne:
- ukubambezeleka kokuvuthwa kwesinye;
- i-nocturnal polyuria, okungukuthi ukukhiqizwa komchamo omningi ebusuku ngenxa yokuncipha kokukhiqizwa kwe-hormone elwa nomchamo;
- isinye kunesilinganiso esimaphakathi noma esisebenza ngokweqile;
- “umbundu wokuphaphama” ophakeme, okungukuthi ingane evuka kanzima phakathi nobusuku, lapho ilele ubuthongo obukhulu, futhi isidingo sokuchama akwanele ukuphazamisa;
- isimo somndeni futhi ngenxa yalokho izici zofuzo zofuzo, nge-enuresis kubantu abakhuphukayo ku-30 kuya ku-60% wamacala.
Qaphela ukuthi izici ezithile ezingokwengqondo noma zezenhlalo-zomndeni zingadala, zilondoloze noma zibe zimbi kakhulu i-enuresis.
Ingabe njalo kusemini noma kusebusuku?
Ukuchama ngokuvamile kuwukuchama ebusuku, emini, kuyindlela yokungakwazi ukuzithiba, nokuvuza komchamo, noma izifo zomgudu womchamo. THE'i-diurnal primary enuresis kungase kube uphawu lwesimo esingaphansi, njengesifo sikashukela, noma esihlobene nokubambezeleka kokuthuthukiswa kwesinye. Uma kusemini nasebusuku, i-primary enuresis kufanele isheshise ukubonisana ukuze kuhlonzwe imbangela (izi) futhi ilawule ngendlela efanele.
Uyini umehluko phakathi kwe-enuresis yokuqala neyesibili?
Ukuchama embhedeni kubaluleke kakhulu uma kungazange kwandulelwe isiqephu sokuhlanzeka, isikhathi lapho ingane isihlale ihlanzekile okungenani izinyanga eziyisithupha.
Uma i-enuresis yenzeka ngemva kwesikhathi lapho ingane ihlanzekile, ibizwa ngokuthi i-secondary enuresis. Lokhu kuvame ukuqala phakathi kweminyaka emi-5 nengu-7 ubudala, kodwa kungase kwenzeke kamuva, ikakhulukazi ebusheni.
Ukwelashwa kanye nezixazululo ze-enuresis eyinhloko
Ukwelashwa kwe-enuresis isekelwe kuqala kukho konke ekusungulweni kwe izinyathelo zokuhlanzeka-zokudla elula, njengokuqapha ukuthi uphuza kangakanani ngaphambi kokulala, nokungena emkhubeni wokuya endlini yangasese ngaphambi kokuyolala.
Izinyathelo zemfundo, njenge ukugcina ikhalenda elingasebenzi, ngobusuku “obomileyo” nobusuku “obumanzi,” kungase futhi kuphumelele ekomeni. I-"stop pee", isistimu ye-alamu okuhloswe ngayo ukuvusa ingane ethonsini lokuqala lomchamo ku-diaper yayo, impikiswano kodwa ingasebenza.
Ezingeni lomuthi, ukwelashwa okuyinhloko okunqunyiwe yi-desmopressin (Minirin®, Nocutil®), kodwa akuhlelekile.
Imuphi uchwepheshe ongabonisana naye?
Ekuqaleni, lapho ebhekene ne-enuresis eyinhloko ezinganeni, kuzothintwa udokotela ojwayelekile noma udokotela wezingane, ozobheka imbangela engenzeka (s), futhi uzokhipha noma cha ukuxilongwa kwe-primary nocturnal enuresis ehambisana nokuphazamiseka kwe-diurnal voiding. noma i-enuresis yasemini. Ngoba ukuphathwa akufani uma kuyi-enuresis yasebusuku ehlukanisiwe (ENPI) noma i-enuresis yasebusuku ehambisana nefomu le-diurnal. Udokotela ojwayelekile noma udokotela wezingane uyakwazi ngempela ukwelapha i-enuresis eyinhloko uma ingahlotshaniswa ne-pathology eyinkimbinkimbi noma izimbangela ezingokwengqondo. Uchwepheshe wezokunakekelwa kwempilo uyobe esebhekisa kosebenza naye (udokotela womchamo, udokotela ohlinzayo wezingane, udokotela wengqondo yezingane, udokotela wezengqondo, njll.) uma i-enuresis idinga ukulandelelwa okuqondile.
Ingabe i-Homeopathy iyasebenza?
Ngokungangabazeki kunobufakazi obuningi obubonisa ukuthi i-homeopathy yenza kwaba nokwenzeka ukuqeda i-enuresis eyinhloko. Kodwa-ke, izindlela zokwelapha ezihambisanayo ezifana ne-hypnosis, i-homeopathy, i-acupuncture noma i-chiropractic ayizange ifakazele ukusebenza kwayo, okungenani ngokusho kwe-French Association of Urology. Ziningi izifundo mayelana nalesi sihloko, kodwa inhlangano izithatha njengezingaqinile kakhulu ezingeni le-methodological. Kodwa akukho lutho oluvimbela ukuzama, ikakhulukazi ngokuhambisana noma uma kwenzeka ukwehluleka kwemithi evamile.
Ingabe i-enuresis eyinhloko ingabathinta abantu abadala?
Ngokwencazelo yayo, i-enuresis eyinhloko ayithinti abantu abadala. Kumuntu omdala, ukuchama okungahleliwe phakathi nobusuku okwenzeka ngokungalindelekile kuzobhekwa njenge-enuresis yesibili. Ngaphezu kwalokho, asikhulumi nge-enuresis lapho kukhona ukungakwazi ukuzithiba komchamo, ukugcinwa komchamo, ukuvuza komchamo noma i-polyuria esimweni se-pathology (ikakhulukazi isifo sikashukela). Ukulawula ukubambezeleka kwe-sphincter yesinye okubonwa kubantu abanokukhubazeka kwenhliziyo noma kwengqondo nakho akubizwa ngokuthi i-primary enuresis.
Imithombo nolwazi olwengeziwe:
- 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