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Ukukhipha umbhede ebuntwaneni: Ungayisiza kanjani ingane yakho ukuba ikunqobe

Imfundo Yezempilo

Ukukhipha umbhede kungaba yisimo esicindezelayo sezingane nemindeni yazo. Kukhona ukuphazamiseka kokushintsha okombhede nokokwembatha, izindleko zemikhiqizo njengamaphakethe angenamanzi, ukukhathazeka ngokuthi ngabe lokhu kuvamile yini, nemizwa yokuphoxeka. Ngoba kungaba isihloko esingakhululekile ukukhuluma ngaso, imvamisa akukhulunywa ngaso emibuthanweni yomphakathi; kodwa-ke, ukukhishwa kombhede empeleni kujwayelekile, futhi kuvame ukubhekwa njengengxenye yokukhula okujwayelekile kobuntwana.

Kuyini ukukhama embhedeni?

Ukwehliswa kombhede — okubhekiswe kwezokwelapha njenge-enuresis yasebusuku — kuwukuchama ngokuzibandakanya ngesikhathi sokulala ezinganeni ngemuva kweminyaka yobudala ezingalindeleka ukuthi zihlale zomile ubusuku bonke.

Bangu izinhlobo ezimbili wokwehliswa embhedeni: okuyisisekelo nokwesibili

I-enuresis yasebusuku eyinhloko yilapho izingane zingakaze zibe nesikhathi esengeziwe sokuhlala somile ebusuku. Ukukhishwa kombhede okuyinhloko kuyindlela ejwayelekile kakhulu yokukhipha umbhede.

I-enuresis yesibili yasebusuku uma ngabe ingane ihlale yomile ngokungaguquki ubusuku obuthile okungenani izinyanga eziyisithupha bese iqala ukumanzisa umbhede futhi, lokhu kuthathwa njengokumanziswa kombhede kwesibili. Lolu hlobo aluvamile kakhulu, lubala cishe ama-25% okukhipha umbhede.

Kuvame kangakanani ukukhanywa embhedeni?

Ukwehliswa kombhede kuvame kakhulu, kusho udokotela wezingane waseBaltimore I-Ashanti Woods , MD. Kubhekwa njengengxenye ejwayelekile yokukhula kwengane. Inani lezingane ezihlangabezana nokukhishwa kombhede njalo liyancipha ngokukhula. I- inani elilinganisiwe lezingane abane-enuresis yasebusuku kanje:

5- kuya eminyakeni engu-6 ubudala: 15% kuya ku-20%
Abaneminyaka engu-8- kuya kwengu-10 ubudala: 6% kuya ku-10%
11- kuya eminyakeni engu-13 ubudala: 4% kuya ku-5%
Iminyaka engu-14- kuya kwengu-16 ubudala: 2% kuya ku-3%
17- kuya kwengu-18 ubudala: 1% kuya ku-2%

Ngenkathi ukumanzisa emini kuyinto okuvame kakhulu kumantombazane , ukufafaza umbhede okuvame kakhulu kubafana . Abafana bakha cishe izingane ezingama-75% ezihlangabezana ne-enuresis yasebusuku.

Ukukhula embhedeni kubhekwa njengenkinga kubuphi ubudala?

Ukucwilisa umbhede kucatshangwa ukuthi akujwayelekile uma kuqhubeka ukudlula iminyaka eyisithupha, kusho uDkt.Woods, naye ogcizelela ukuthi noma ngabe useneminyaka eyisithupha kusesejwayelekile.

Ngenkathi ukukhanywa embhedeni kungathathwa njengokungenankinga kuze kufike ebusheni, kuwumqondo omuhle ukuxhumana nodokotela womndeni wakho uma ingane yakho ngisalokhu ngimanzisa umbhede njalo ngeminyaka engu-7 noma engu-8 ukuze unqande izimo zezokwelapha ezingaba khona, noma uma ukumanzisa umbhede kudala izinkinga zengqondo (njengokuzethemba okuphansi) kwengane yakho noma komndeni wakho.

Akubonakali kunesikhathi esithile lapho ukuqothuka embhedeni kuba khona — kuyahlukahluka kusuka kochwepheshe kuya kochwepheshe, kodwa iningi liyavuma ukuthi ukuvimbela esinye isimo sezokwelapha, ukuthi ukwelapha ukukhipha umbhede noma cha kuxhomeke ekutheni kunamandla kangakanani.

Ukukhipha umbhede nakho kungakwenza zenzeka kubantu abadala . Lokhu kuvame ukubangelwa yisimo sezempilo esingaphansi kwesifo sikashukela, izinkinga zehomoni ye-ADH (antidiuretic), isinye esisebenza ngokweqile, ukuvimba urethra, ukuqunjelwa, ukuvimbela ukuphefumula kokulala, isitho se-pelvic prolapse, izinkinga ngesakhiwo sesinye noma ezinye izitho zomchamo, i-prostate ekhulisiwe, amatshe we-urinary tract, noma ukutheleleka kwe-urinary tract. Kungabangelwa futhi yimithi ethile efana namaphilisi okulala noma ama-antipsychotic afana ne-clozapine noma i-risperidone.

Ukwehliswa embhedeni kwabantu abadala kungaba uphawu lwezimo ezibucayi njengomdlavuza wesinye noma umdlavuza wendlala yesinye, noma izifo zobuchopho nomgogodla njengokuphazamiseka kokuquleka, i-multiple sclerosis, noma isifo sikaParkinson.

Izinketho zokwelashwa ekukhuliseni umbhede kubantu abadala zincike esizathwini sokukhishwa kombhede.

Yini ebangela ukukhanywa embhedeni?

Odokotela bezingane namanje abasazi imbangela eqondile yokukhipha umbhede, kusho uDkt Woods. Okuye kwaphawulwa ukuthi ukukhaliswa kombhede kuvame ukusebenza emindenini.

Ngokuqinisekile kukhona ingxenye yezakhi zofuzo, ngokusho kukadokotela wezingane wase-Utah USindi Gellner , MD. Ososayensi baze bakhomba nezakhi zofuzo zokubambezela ukulawula isinye ebusuku, uDkt Gellner Kusho inhlolokhono yeYunivesithi yase-Utah Health. … Bakuma-chromosomes 8, 12, no-13. Kungakho sibona lokhu kusebenza kakhulu emindenini.

Ezinye izinto ingafaka :

Izingane ezingabalali abajulile, ezingavuki lapho isinye sigcwele
Ukukhiqizwa okunganele kwe-hormone yokulala i-vasopressin, ekhombisa umzimba ukuthi wenze umchamo omncane ebusuku.
Isinye esingavuthiwe noma esincane

Ngezikhathi ezithile, ukukhipha umbhede kungadalwa inkinga enkulu yezokwelapha. Ezinye izimo zezokwelapha odokotela abazicabangayo lapho kukhishwa isikhathi eside embhedeni zihlanganisa ukuqunjelwa, izifo ezithwala umchamo, isifo sikashukela nokucindezeleka, kusho uDkt Woods. Ezimweni ezingavamile… ngenxa yezizathu zokwakheka komzimba, ukuhlinzwa kungakhonjiswa [njengokuvimba] ukuncipha okuvimba ingane ekuchithekeni ngokuphelele kwesinye sayo.

Ngingakuyeka kanjani ukukhama embhedeni?

Ukwehliswa embhedeni kuvame ukuphuma, kodwa kunezinto eziningana ezingasiza ezinye izingane.

Ukuvala Isikhathi . Thola izingane ngohlelo lokuchama njalo emahoreni amabili kuya kwamathathu emini, noma ngabe ziyasizwa noma cha. Ungabathola newashi elidlidliza ngezikhathi ezibekiwe ukubakhumbuza ukuthi bahambe.
Ukuhamba kabili. Kunamasu ahlukene; imvamisa ingane ibichama, iphumule ethoyilethi amasekhondi angu-20-30, bese iphinda ichama futhi.
Gada uketshezi. Khuthaza ukuphuza ngokweqile emini bese uphuza kancane ekupheleni kosuku nakusihlwa (ngaphandle kokuthi babandakanyeka kwezemidlalo futhi badinga ukufuthwa okwengeziwe.) Gwema iziphuzo ezine-caffeine noma ama-bubble, amajusi e-citrus, neziphuzo zezemidlalo.
Ukwelashwa Okugqugquzelayo. Yiba nesineke futhi ukhuthaze. Zonke izindlela zisebenza kangcono lapho wonke umndeni ugibele. Zama uhlelo lwemiklomelo, hhayi nje ngokuba nobusuku obomile, kepha ngokunamathela esimisweni. Ungalokothi uhlazeke, ukhuze, noma ujezise ingane ngokumanzisa umbhede — abakwenzi ngamabomu.
Thola Izingane Zihileleke. Basize bazizwe belawula isimo ngokuqhamuka nesimiso ndawonye. Bayeke basize ukushintsha okombhede (kepha hhayi njengesijeziso).
Ama-alamu Wokujulisa Umbhede . Lezi ziza nenzwa yomswakama enamathisela ezingutsheni noma embhedeni wengane. I-alamu izokhala ngokushesha nje lapho ingane iqala ukumanzisa umbhede. Le ndlela idinga ukuzibophezela kusuka kokubili enganeni nakumzali. Ekuqaleni, kungenzeka ukuthi ngumzali kuphela ozovuka ne-alamu, futhi bazodinga ukuvusa ingane bayise endlini yokugezela. Ngokuhamba kwesikhathi, izingane eziningi zifunda ukuvuka nge-alamu futhi ekugcineni zivuke ngomuzwa wesinye esigcwele. Ukuthuthuka okuthile kungenzeka emasontweni ambalwa, kepha i-alamu imvamisa idinga ukusetshenziswa izinyanga ezintathu kuya kwezine ukuze iphumelele kakhulu. Le ndlela ayisebenzi kuzo zonke izingane, kodwa uma isebenza isebenza ijwayele ukuba nempumelelo ehlala njalo.
Imithi . Imithi akuyona indlela yokuqala, kepha ingaba wusizo kwezinye izingane. Kusiza kakhulu imicimbi ekhethekile efana ne-sleepover, ukuhamba, noma ikamu.

Ingabe ikhona imishanguzo engasiza ukuyeka ukukhipha umbhede?

Yize kungewona umugqa wokuqala wokwelashwa, kunemithi ethile engasiza.

Unyazi

Unyazi (DDAVP) isetshenziselwe lawula inani lomchamo eyenziwe izinso. Kuthathwa ngomlomo, futhi umthamo uncike esigulini nasesimweni. Imvamisa kuyindlela yokuqala yokwelashwa kukadokotela oketshezi lombhede futhi iyasebenza cishe Iziguli ezingama-50% .

Ngenkathi kuphephile ukuthatha isikhathi eside, kunjalo akuvamile ukusiza ekunciphiseni ukukhishwa kombhede ngokuhamba kwesikhathi . Ukumanzisa umbhede kuvame ukubuya uma umuthi umisiwe.

I-Desmopressin ingasiza kakhulu lapho isetshenziselwa imicimbi ekhethekile njenge-sleepover, indiza ende, ikamu, njll.

Uhlu oluncane lwe imiphumela emibi engaba khona kuhlude ikhanda, isicanucanu, ukucasuka esiswini, noma ukuqhuma ebusweni. Imiphumela emibi kakhulu ayivelakancane kepha ingenzeka. Funa usizo lwezokwelapha uma kunezimpawu zokuphendula okweqile.

Lo muthi ungadala amazinga aphansi e-sodium egazini. Landela ngokucophelela imiyalelo kadokotela mayelana nokuthi ungakanani uketshezi okufanele uphuze usuku ngalunye. Lokhu kubaluleke kakhulu ezinganeni. Izingane nazo zingaba ku- ingozi yokuquleka ngenxa yokudakwa kwamanzi, okwenza ukulawulwa kokuphuza uketshezi kudingeke kakhulu.

Imipramine

Imipramine i-antidepressant kwesinye isikhathi esetshenziselwa ukulawula ukoma kombhede. Iziguli eziyishumi kuya kwezingu-50 bika ukoma okugcwele , kanti abanye babika intuthuko ethile.

Akuqondakali kahle ukuthi lo muthi usebenza kanjani, kepha kucatshangwa ukuthi kusebenza ngenye yezindlela ezimbalwa:

Ngokushintsha indlela yokulala nokuvuka kwengane;
Ngokuthinta isikhathi lapho ingane ingabamba umchamo esinyeni; noma
Ngokunciphisa ukukhiqizwa komchamo.

I-Imipramine isebenza kangcono ezinganeni ezindala, futhi ngokuvamile ayinqunyelwe izingane ezingaphansi kweminyaka engu-6 kuya kwengu-7.

Imvamisa kuthathwa ihora eli-1 kuye kwele-2 ngaphambi kokulala, futhi umthamo uncike ebudaleni bengane.

Imiphumela emibi ayijwayelekile, kepha ingafaka ukucasuka, ukuqwasha, ukozela, ukuncipha kokudla, futhi kuyaqabukela, izinguquko zobuntu ezingathandeki. Le miphumela emibi ingaguqulwa ngokunciphisa noma ukumisa imipramine.

Okubalulekile, ukweqisa izidakamizwa kungadala ukufa ezinganeni, futhi kube nemibiko yokweqiwa ngokweqile ngengozi. Imipramine kumele igcinwe lapho izingane zingafinyeleleki khona futhi ivalelwe esitsheni esingavikela izingane noma ngekepisi elingavikela izingane.

Njengaku-desmopressin, ukukhanywa embhedeni kuvame ukwenzeka lapho i-Imipramine imisiwe.

I-Oxybutynin neHyoscyamine

I-Oxybutynin futhi IHyoscyamine ama-anticholinergics asetshenziselwa ukwelapha izinkinga zomchamo nesinye.

Azisizi kangako ezinganeni ezinokumanzi ebusuku kuphela lapho zisetshenziswa zodwa, kepha zisebenzisa i-anticholinergic ingasetshenziswa ngokuhlangana ne-desmopressin ukusiza ezinye izingane ngokukhama embhedeni, ikakhulukazi izingane ezinciphise umthamo wesinye sokusebenza.

Isikali sale mishanguzo siyahluka ngokuya ngeminyaka nangesisindo. Imiphumela emibi ejwayelekile ifaka umlomo owomile nokugubha ebusweni. Ukweqisa ngokweqile kungaholela ekufiphaleni kombono kanye nemibono.

I-Tolterodine

I-Tolterodine kungenye i-anticholinergic enemiphumela emibi embalwa ebikiwe futhi icacise kakhudlwana ngesenzo sayo esinyeni. Akuvunyelwe izingane ezingaphansi kweminyaka engu-12.

Ungakuphatha kanjani ukukhishwa kombhede okuqhubekayo

Ngenkathi usalinde ukwelashwa ukuthi kusetshenzwe noma ukuthi ingane yakho isheshe ikhukhume embhedeni, kukhona ezinye izinto ongazenza ukwenza isikhathi sokulala silawuleke futhi sijabulise.

Imikhiqizo Yokumunca noma Engangenwa Manzi. Izambatho zangaphansi ezingasetshenziswa futhi zilahlwe zingaba wusizo ekulaleni kude nasekhaya. Ekhaya, amapayipi alahlwayo noma avuselelekayo noma abavikeli bomatilasi basiza ukuvikela okombhede.
Izinguquko ezilula zasebusuku. Beka izingubo zokugqoka ukuze ingane yakho iguqule uma ivuka imanzi ebusuku. Cabanga ngokubeka amashidi ngamaphakethe angenawo amanzi ukuze kube lula ezinganeni ukususa imibhede emanzi ebusuku nasekuseni.
Ukugeza. Qiniseka ukuthi ingane yakho iyashawa noma igeza nsuku zonke ukuze isuse iphunga lomchamo.
Hlonipha Ubumfihlo. Uma ingane yakho ithanda ukushintsha iyodwa, vumela. Ungaxoxi ngokukhama kwabo embhedeni uzungeze abanye abantu ngaphandle kwalapho uvakashelwe udokotela.
Nikeza Isikhuthazo. Khuluma nengane yakho umazise ukuthi ukumanzisa umbhede akulona iphutha lakhe nokuthi uyazi ukuthi akakwenzi ngamabomu. Mtshele ukuthi kuvame kangakanani, nokuthi kungenzeka ukuthi abanye babangani bakhe bamanzise umbhede manje noma benza ngesinye isikhathi futhi. Mqinisekise ukuthi akanankinga nokuthi kuzoba ngcono. Uma kukhona amalungu omndeni asebekhulile emndenini wakho omanzisa umbhede njengezingane, bacele ukuthi bakhulume nengane yakho ngamava abo ngendlela eduduzayo. (Hlonipha ubumfihlo bese ucela imvume yengane yakho ngaphambi kokwenza kanjalo.)

Ukunwebeka embhedeni kunzima, kodwa kubalulekile ukukhumbula ukuthi kujwayelekile, kuyelapheka, futhi kuvame ukuba mncane. Uma ezinye izimo zezokwelapha nokuqunjelwa kukhishelwe ngaphandle, ikakhulukazi umdlalo wokulinda. Yiba nesineke, yiba nomusa, futhi nonke nizodlula kukho.