Mamiriro acho ezvinhu ndeawo - munhu wese akambonzwa, asi vashomanana zvikuru vanhu vanoziva. Izwi rokuti "enuresis" ndiro rechiGiriki uye rinoreva kuti "kubvongodza, kuputika." Sechiratidzo, urinary incontinence inogona kuitika mumhando dzakasiyana-siyana dzezvirwere. Asi, "usiku enuresis" chirwere chakazvimiririra chinoratidzirwa nekunyengedza kwevamwe vana vane makore 4 nekure. Ichokwadi ndechokuti unyanzvi hwokuchengetedza urinary kana uchizadza chikafu chinogadziriswa zvakananga nemakore gumi nemana.
Vaya vanotambura zvikuru ndiyo enuresis yevana vepakutanga (10%). Vakomana ndivo vanowanzopfuura vasikana (12% uye 7%). Muchikoro chepuraimari, chiyero chekuita urinary incontinence is 4.5% yevana, uye pashure pemakore 15 chete 0.5%.
Saka, ikozvino kubva pane tsanangudzo pachayo zvinonzwisisika kuti enuresis yevana haina zvisingabvumirane nehutano hwekurara. Muvanhu zvinotendwa kuti kana iwe wakanyarara kwazvo iwe unogona "kungonzwa" chido chokuramba. Izvozvo zvinonzi chimiro chakanaka che enuresis, zvirokwazvo, chinosangana nehope huru. Avicenna zvakare akataura izvi. Asi ndapota! Kana zviratidzo zvichibva kumubhedha hazvisviki pakurara, nei tisingawanzokwira pakati peusiku nguva dzose nekukurumidza kuenda kuchimbudzi? Zvinotarisa kuti mubhedha wakanyoro hausi "kunyadzisa pamusha wose", asiwo nzira yekare yekuzvimiririra, yakashandurwa nekushanduka-shanduka. Maererano nemazuva ano data, enuresis inogadziriswa nemasikirwo ekuchinja matanho ekurara.
Vanaamai vazhinji vakaramba vachiona kuti vana vavo vanongomuka vasati vachangomuka kana pakarepo. Izvi zvinoreva, kumucheche, kubata mhuka chiratidzo chepanyama chokumutsa, pasina izvo angangodaro asina kukwira! Sezvo uropi hukura uye muviri hunovandudza, chido chekusimudzira kwakadaro chinonyangarika. Maererano nehuwandu, panguva yehafu yegore 87% yevana vane utano vakamira vachimhanya mubhedha masikati. Mugore rimwe vanopfuura 2/3 vevana vanovata usiku hwose kana kuti vanonyanya kuongorora, kwete kamwe kamwe pavhiki.
Nokudaro, manheru ano enuresis anowanikwa kusvikira zvakakosha kuti muviri wemwana uwane chikwereti chekusava nekugadzikana kwemamiriro emagetsi. Zvinoratidzika zvisina kunaka apo mapapa neamai vanovada kuzvidzora pamberi pehama, shamwari uye vanozivana kuti nemhaka yezvakanaka dzidzo yavo yegore rimwe chete nesmyshlynysh haisisiri "inoputika" muchikwereti. Ichokwadi, kuvonga nokuda kwekununurwa kwehupenyu hwehupenyu, munhu haafaniri kunge ari oga, asi chimiro. Zvichida biology, kureva, kuberekwa kwezvinhu, zvinokanganisawo kusiyana kwepabonde muhuwandu hwekuvhiringidza kwekusangana. Mune maonero angu, nharaunda yepasi ye enuresis muvasikana inofananidzwa nevakomana inokonzerwa nekuti muviri wechikadzi unokura uye unokura zvishoma nekukurumidza kupfuura mutumbi. Kwete kunyanya munyaya yacho, munhu anogona kutora kuvapo kwezvinoreva zvakadzama zvakagadzirirwa muzvigadzirwa zvakadai zvevanhu.
Mwana mumwe nomumwe anodonha muchikwereti munzira yake.
Nyore nyore. Iyo inoratidzirwa nekugara nguva dzose, asi inowanikwa (2-5 kakawanda pavhiki) zviitiko zvekuchera mumwana uyo ane nguva yakawanda haigoni kuwanda kwehuwandu hwezvinodhaka zvinodhaka. Kurara kunowanzova kwakadzika - mushure mekudonha, mwana anoenderera kurara. Kuvhiringidza kunowanzowanzoitika mumaawa maviri okutanga ekurara. Muzviitiko zvakawanda, zvinetso zvehupenyu zvinoratidzwa.
Neuropathic enuresis inokurwisana nezera rekuzvarwa kwevana nekutya nekuwedzera kunakidza uye kuneta kwehutano hwemitsipa. Kuwedzerwa kwezvinyorwa zvinokonzerwa nekudzivirira kunobva pakuwanda kwezvinwiwa zvinodhaka. Neurological "microsymptomatics" inoratidza. Kazhinji vana ava vanovhiringidza zuva neusiku. Vana-neuropaths vanowanzotambura nehutano vachiri vaduku. Mukurwisana nemamiriro ezvinhu chero zvirwere zvinopesana zvinokonzera, kusagadzikana kusingadikanwi uye kushanya nguva dzose kunoitika kwete chete usiku, asiwo panguva yemasikati.
Iyo yehutano inenge isinganzwisisiki uye inowanikwa mune imwe yenguva yakaoma nguva (3, 5, 7, makore manomwe) senzira yekuita kune yakaoma uye / kana kushushikana mupfungwa kunetseka. Sezvo mutemo, vana vanoita kuti vasava nehasha, kufungidzira, kushungurudza, kushungurudzika kwehope, kutyisa usiku, tic, nezvimwe. Nokuwedzerwa kwehutano hwepfungwa, njodzi yekuzviuraya inowedzera. Apo kukwirira kwe "kuda" mumweya wemwana kunopera, nguva zhinji ye "manheru" usiku inoderera.
Tichabata here kana kuti tirarame?
Mune zvekurapa, usiku nezuva kusanyengedzwa kwevana kunoonekwa sechikamu chekusava nekugadzikana kwehurongwa hwemagandanga. Nokudaro, vanachiremba vanowanzokurudzirwa kumirira kusvikira mwana pachake "abuda" dambudziko iri. Asi kana enuresis inowanzoitika, kana mwana nevabereki vake vanoita kuti kusava nekunyanyisa kunotyisa, vanotanga kurapwa, zvinowanzoshandiswa pakugadzirisa kushanda kwehutano hwemagetsi uye metabolism.
Chokutanga pane zvose, unofanirwa kugadzirisa kudya kwako uye mararamiro ako. Misi uye zvinomera zvinomera zvinoshandiswa, nehuwandu hwezvibereko uye zvishoma zvishoma zvemvura uye munyu. Mushure me18-19 masikati, zvinwiwa zvisingabatanidzwi zvachose, kunyanya chai nekofi. Zvakanaka nguva dzose zvidzidzo zvekudzidzira, manheru anofamba asati avata nguva yakanaka kune utano hwakakwana. Kana mwana wacho asina nguva shoma yokushandisa pamberi peTV uye kombiyuta, zvichamubatsirawo.
Nekukosha kukuru ndeyekuvandudza kwepfungwa dzepfungwa mumhuri. Mwana haafaniri kuva chapupu che "kurwisana" pakati pevabereki. Baba naamai vanofanira kushanda semuenzaniso wakanaka, kuratidza rudo rwavo, kupa nguva yakakosha uye kuva nemoyo murefu.
Kubva pamishonga yemishonga yekurapa mwana nemubhedha wekuchera zvakanyanya kushandiswa kwemishonga yemishonga. Ne "kutya", uswa ane antidipressant (St. John's wort) uye kugadzirisa chiito (valerian, motherwort, cudweed) chichashanda. Mamiriro akanaka ehutano wehutano ane zvokudya zvemazuva ano zvinowedzera: zvipembenene zvakakanganiswa gorosi germ, mararita uye mishonga yemavhithamini complexes ne rosehip, yakatsvuka uye yakasviba chokeberry. Pamiti yemichero, iyo yakagadziriswa isina kumbosimbiswa nesayenzi, asi yakashandiswa kwemazana emakore kuvanhu kuti vararame eureisis, inotaura inofanira kuve yakasvibiswa, macroberberries, cranberries, blueberries, dill, croquets, uye ndarama.
Dzimwe nguva zvinodhaka zvemishonga zvinoshandiswa: antidipressants amitriptyline uye imipramine. Mukusangana kwezvinetso zvepfungwa, mhuri yepfungwa inoratidzwa, iyo inoitwa kwete chete nemwana, asiwo nevakuru vakuru.