Vabereki vanofanira kuziva chii?
• Zuva rega rega urinary incontinence haigoni, uye kunyanya kune vana kusvika pamakore gumi nemana.
• "Usiku" enuresis inetso yakawanda kwazvo, inobata kwete vana chete makore mashanu (20% yevana), asiwo vane makore gumi (10%), vechidiki 12-14 (3%) uye kunyange vanhu vakuru makore anopfuura 18 1%).
Enuresis inoitika:
• nheyo-inowanikwa mumwana kubva mumakore ekutanga ehupenyu:
• yechipiri - apo incontinence inoitika mushure mekunge "yakaoma" nguva.
Pane zvikonzero zvakawanda zvekuvhenekera kwekuvhiringidza: kuberekwa kwekuberekwa kwepakati yenheyo system. kushungurudzwa kwekugadzirwa kwemamwe mahomoni uye nhungamiro yekutya kwechirwere chekuvhenekera, urinary tract infection, SARS, nezvimwewo. Heredity inokoshawo. Chikonzero chinonyanya kukanganisa kushungurudzika, neuroses uye zvimwe zvepfungwa zvinopesana, nechekuita kwechimiro chemuviri, kunokonzera bedwetting. Neurotic enuresis inogona kunge isina nguva pfupi (seyakanyanya kuora mwoyo) uye yakareba (kana kushungurudzika kwepfungwa kunowanikwa kwakagadziridzwa zvakare). Mwana akwegura, iyo inonyanya kuonekwa nemigumisiro yehurumende yehurongwa hwake hwemitsipa panguva yechirwere chacho. Iwe unogona kutora mifananidzo yakawanda yepfungwa yevana vane matambudziko akafanana. Mumasikati, sekutonga, mwana akadaro anoramba achinyanyisa, anonyanya kutamba, anonyanya kushamwaridzana anobvumirana kugara pasi akanyarara, anotamira kune vanonyengedza. Manheru, mwana haagoni kurara, anozovata kwenguva refu, kunyange kana akaneta kwazvo, akarara asingabatsiri - anogona kutaura muhope dzake, nguva dzose achifamba. Vabereki vanocherechedza mwana wavo usiku usiku vanogona kuona kuti maawa mashomanana okutanga ekurara anonyanya kusara kusvikira panguva yekunyanya kunetseka (ipapo mwana anonyanya kuvhara pasi). Kumutsa mwana kuitira kuti akazvipira nemaune muhari, inenge isingazoitiki. Mukuwedzera, kuvhiringidzika kunokonzera kusabvisa utano hwemwana, uye zuva rakatevera mwana anozvibata zvakanyanya, izvo zvisingatauri zvinotungamirira kune itsva kusanganisa chiitiko. Chimwe chezviratidzo zvekuongorora zvirwere zveeurotic enuresis ishungu hwemwana kuchinja mumamiriro ekunze nemhepo yekushisa. Muchitonhora mamiriro okunze, incontinence yakawanda kudarika nguva yakawanda.
Kana mwana akamuka akaoma
Chikanganiso chinowanzoitika ndechokusada kubvunza mwana nekusaziva. Zvakakosha kufunga kuti nekufamba kwenguva dambudziko richapera pacharo. Chigaro ichi chinowanzokonzera kuipa kwemamiriro ezvinhu uye kuonekwa kwezvinetso zvakakomba zvepfungwa zvepfungwa. Kana ukacherechedza kuti mwana anoramba achimuka mumubhedha wakanyorova, bvunza chiremba wevana vedunhu. Zvichida, zvakakosha kuongororwa kuti unzwisise, kana enuresis inobatana nezvirwere zveitsvo uye chikwata. Zvinotarisirwa kuongororwa ropa, urinhi biochemical examination, kuburitsa ultrasound yeitsvo uye urinary tract, kuongorora kwehuwandu uye kuwandisa kwekuzorora panguva yemasikati (iyo inonzi "diuresis zuva nezuva"), uye mune dzimwe nguva, electroencephalography - kuziva nzvimbo dzeuropi dzisina basa. Asi dzimwe nguva haugone kuziva nokukurumidza chikonzero chechirwere. Dzimwe nguva mwana anotumidzwa kuzokurukura kune dzimwe nyanzvi (neurologist, psychologist, nezvimwewo). Kujekesa kwechikonzero che enuresis inzira yakareba uye yakaoma, asi nenzira iyi chete inogona kugadzirirwa mushonga unoshanda. Zvisinei, zvakanyanya kunyatsorongororwa hazvifaniri kukumanikidza kuzvibata. Kupa mishonga kunongova chiremba, sezvo chero kukanganisa (muyero, kusarudzwa kwezvinodhaka, nezvimwewo) kunogona kukonzera zvinetso zvehutano zvakanyanya. Zvinodhaka zvinorayirwa pamwe chete ne physiotherapeutic nzira (ultrasound, phonophoresis uye dzimwe nzira) dzinodzora kushanda kwechirwere uye kuisa purogiramu yeropa. Kuti kusimbise mishonga yechipfuva chepilvic inoshandiswa pakurapa gymnastics.
Zvinokurudzira amai nemadzishe
1. Kufanana nedzimwe zvirwere, enuresis ine maitiro ayo pachavo mumwana mumwe nomumwe, saka usaedza kuendesa mwana kune imwe nzira yakasarudzwa. Pamusoro pezvikamu zvose, maitiro ayo ekurapwa arikudziridzwa.
2. Kana chikonzero chechirwere chiri kushungurudzika, saka chinhu chekutanga chekuita ndechokubvisa. Mhepo inofadza, inozorodza mumhuri ichaita kuti kurapwa kubudirire. Zvingave zvakakosha kurongedza mhuri yekuenda kuchikoro: munyaya yemwana ane enuresis, chero upi noupi hwepfungwa uye kusagadzirisa maitiro hazvigamuchirwi. Mwana wacho haafaniri kungowedzera kukura kwaamai nababa, asi unobtrusiveness uye kunakidza kwekucherechedza izvi.
Z.Isli incontinence inotsamwiswa nechitarisiko mumhuri yemwana wechipiri, vabereki vanofanira kufunga nezvehukama hwavo nevakuru. Kubhadhara zvakanyanya kumwana achangoberekwa, edza kuita kuti mwana wako mukuru anzwe achidiwa, haanzwi kuti haufaniri uye haufaniri.
4. Zvinokosha zvikuru kuchengetwa kwemaitiro chaiwo ezuva uye kunyanya nguva yekudya kwemvura. Pakati pezuva, mwana anofanira kunwa zvakanyanya sezvaanoda, asi nguva yekupedzisira izvi zvinofanira kuitika mushure memaawa maviri asati avata.
5. Zvokudya zvevana zvinofanira kuva zvakasiyana-siyana sezvazvinogona. Usashandisa zvinonhuwira munyu, zvinonhuwira uye zvinonhuwira (vanowedzera nyota), uyewo vadzidzise mwana kuwanda kwezvokudya nemafuta ekugadzira uye flavor additives. Kana mwana akashandiswa kunwa zvakanyanya manheru, edza kuedza zvishoma nezvishoma imwe yemvura yacho nezvidimbu zvejubhi michero (maapuro, maarangi).
6. Inonyanya kukosha kutonga uye kunyura: maawa maviri nemaawa matatu nemaawa matatu nemaviri kusvika maawa matatu zvichidzika asi zvakasimba kutungamirira mwana muimba yega yega kana muti muhari. Izvi zvinofanira kuitwa nguva pfupi asati avata.
7. Kazhinji, vana vane enuresis vane matambudziko ekurara kwemasikati: ivo vanozeza kurara, uye kushambadzira dzimwe nguva kunotyisa zvokuti kunyange kana kurara kunotevera hakukwanise kuripa izvi. Muchiitiko ichi, usaita kuti mwana arara, iwe unogona kusvika pakusangana kwakanaka: mwana achapedza masikati ari pamubhedha, asi panzvimbo pokurara achateerera mimhanzi ine rugare kana nhau.
8. Kuderedza nguva iyo mwana anoshandisa pamberi peTV uye pamakombiyuta, nokuti mabasa aya haanovhiringidzi basa remagetsi emagetsi, anotungamirira kuwedzeredza uye kuwedzera dambudziko re "dambudziko usiku".
9. Kuratidza kubata kweusiku uye kurara kwehope kunobatsira izvo zvinonzi mabasa emitambo - zviito zvinowanikwa usiku humwe nehuwandanano: kuchenesa machira, kushambidza, kuverenga nhau, nezvimwe. Zvakakosha kuti mubhedha wemwana wakanga wakakwana zvakasimba (maronda akakodzera zvakanaka mattresses), uye mhepo iri muimba yekurara inodziya. Mamwe manheru, edza kugadzirisa mitambo ine ruzha uye inoshingaira, uchiiisa nemakirasi nemuumbi, plastiki, mosaic. Chinhu chikuru ndechekuti "manheru" kutonga: hapana manzwiro akasimba asati avata. "Mucheche akaora mwoyo manheru?" Kumbira kuti ape, asi kwete nebhurobhu, asi nemaoko ake. "Mapeji ezvemapfungwa anofunga kuti nzira iyi ndiyo imwe yenzira dzakanakisisa dzekudzivisa mwana ane utano husina kunaka." Zvechokwadi, izvo zvidzidzo zvemitambo zvinowanikwa pasina kukuvadza zvakanyanya kumhepo iwe unofanirwa kugadzirira: kushandura mwana muzvipfeko, izvo zvisiri tsitsi kune ivhu, kuisa pasi ne mafutacloth uye kupa mucheche mucheki pepa guru pepavara kuzviratidza. Rasna chinosunungura vana, izvozvo relaxes tsinga uye tsandanyama, zvichiita achitevedzera kunze akaunganidza manzwiro.
Kudzidzira kwechirwere
Kururamisa uye kwenguva pfupi yekudzidzira kuzvidzivirira kunoita kuti musikana uye kushungurudzika mupfungwa, zvive nehana yakawanda uye kubatsira kukurira zvinetso zvemukati. Taura nemwana wechiremba wepfungwa, achasarudza nzira yakanakisisa yekuita kuti afunge nezvehupenyu hwemwana. Mukuwedzera, kune zviverengero zvakasiyana-siyana zvinoshandiswa izvo zvichabatsira mwana kudzidza kunzwa nehuwandu hwekuzara kwechikwata chake uye kudzora nzira yekugunzva pasina. Nzira dzakadaro dzinoshanda chete kune vana vanopfuura makore matatu vanogona kutokwanisa kungoita zvikumbiro zvisiri nyore, asiwo kunzwisisa kuti sei vachizviita. Tanga "kurovedza" kwakadai nekukumbira mwana kuti adzorere nguva yakareba sezvinobvira uye kukurudzira kurinha. Kuita basa kunobatwa zuva rimwe nerimwe masikati pazuva, kunobatsira kuvandudza kushanda kwemisumbu yakadzika yechimbiso uye kuwedzera zvishoma. Kana ruzivo rwemazuva ose rwunobvumidzwa kuwedzera nguva ye "containment", ipapo basa racho rinova rakaoma. Mwana wacho, semuenzaniso wokutanga, anokumbirwa kutambura kwenguva yakareba sezvinobvira, uye ipapo, mushure mekunge atanga kubuda, anokumbirwa kumupopotera, kutangazve, uye omira zvakare. Usaora mwoyo kana mwana asingakwanisi kuzadzisa zvikumbiro zvako pakarepo. Ramba uchizvininipisa uye unoramba uchidzidzira kudzidzisa nzira yekugadzirira. Kakawanda, mushure mekunge mwana adzidza nzira yekuzvigadzirisa pachena, zviitiko zveusiku incontinence stop.
Kune avo vana vasingakwanisi kuita maitiro aya, unogona kukurudzira nzira yeusiku kumutswa. Ichokwadi, achada mumwe wevabereki kuti vamuke usiku. Nzira iyi ndeyotevera: mukati mevhiki mwana anofanira kumutswa nguva yose yehope, achitanga pa12: 00 mangwanani. Vhiki inotevera mwana anomutswa 1 nguva nenguva yeusiku (inenge iri pakati pakati peusiku uye nguva yekugara yakasununguka yemwana). Muvhiki rechitatu mwana anofanira kumutswa 1 nguva nenguva yeusiku - maawa matatu mushure mekunge avete hope, zvishoma nezvishoma anochera nguva yekudzidzira kumutsa kusvika maawa maviri, uye kusvika paawa imwe kubva panguva yekurara. Kana incontinence episodes inotangazve, denderedzwa inodzokororwa.