Ukumanzisa embhedeni

Ukomiswa kombhede noma i-enuresis yasebusuku kulapho ingane imanzisa umbhede ebusuku ngaphezu kokuphindwe kabili ngenyanga ngemuva kweminyaka yobudala eyi-5 noma engu-6.

Isigaba sokugcina sokuqeqeshwa kwendlu yangasese sihlala somile ebusuku. Ukuze uhlale womile ebusuku, ubuchopho besinye nengane yakho kumele kusebenze ndawonye ukuze ingane yakho ivuke iye endlini yangasese. Ezinye izingane zikhulisa leli khono sekwedlule isikhathi kunezinye.

Ukukhanywa embhedeni kuvame kakhulu. Izigidi zezingane e-United States zimanzisa umbhede ebusuku. Ngeminyaka engu-5, izingane ezingaphezu kwama-90% zomile emini, kanti ngaphezulu kwama-80% zihlala zomile ubusuku bonke. Inkinga ivame ukuhamba ngokuhamba kwesikhathi, kepha ezinye izingane zisalokhu zimanzisa umbhede zineminyaka engu-7, noma ngaphezulu. Kokunye, izingane ngisho nenani elincane labantu abadala, ziyaqhubeka zineziqephu zokujulisa embhedeni.

Ukuphalaza umbhede nakho kwenzeka emindenini. Abazali abamanzisa umbhede njengezingane maningi amathuba okuthi babe nezingane ezimanzisa umbhede.

Kunezinhlobo ezi-2 zokukhama embhedeni.

• I-enuresis eyinhloko. Izingane ezingakaze zome njalo ebusuku. Lokhu kuvame ukwenzeka lapho umzimba wenza umchamo omningi ubusuku bonke kunalokho okusengabanjwa isinye, futhi ingane ayivuki lapho isinye sigcwele. Ingqondo yengane ayifundanga ukuphendula kusiginali yokuthi isinye sigcwele. Akulona iphutha lengane noma lomzali. Lesi yisona sizathu esivame kakhulu sokukhunyulwa embhedeni.
• I-enuresis yesibili. Izingane ebezomile okungenani izinyanga eziyisithupha, kodwa zaqala futhi ukusikisela embhedeni. Kunezizathu eziningi zokuthi izingane zimanzise umbhede ngemuva kokuqeqeshwa ngokugcwele endlini yangasese. Kungaba ngokomzimba, ngokomzwelo, noma ukushintsha nje kokulala. Lokhu akuvamile kakhulu, kepha akusilo iphutha lengane noma lomzali.

Ngenkathi kungavamile kakhulu, izimbangela zomzimba zokukhipha umbhede zingabandakanya:

• Izilonda zomgogodla ezingezansi
• Ukukhubazeka kokuzalwa kwepheshana le-genitourinary
• Ukutheleleka ngomgudu womchamo
• Isifo sikashukela

Khumbula ukuthi ingane yakho ayinamandla okulawula ukoma kombhede. Ngakho-ke, zama ukubekezela. Ingane yakho nayo ingazizwa inamahloni futhi inamahloni ngakho, ngakho-ke tshela ingane yakho ukuthi izingane eziningi zimanzisa umbhede. Yazisa ingane yakho ukuthi ufuna ukusiza. Ngaphezu kwakho konke, ungayijezisi ingane yakho noma ungayinaki inkinga. Ayikho indlela ezosiza.

Thatha lezi zinyathelo ukusiza ingane yakho ukuba inqobe ukukhala embhedeni.

• Siza ingane yakho ukuthi iqonde ukungabambi umchamo isikhathi eside.
• Qiniseka ukuthi ingane yakho iya endlini yangasese ngezikhathi ezijwayelekile emini nasebusuku.
• Qiniseka ukuthi ingane yakho iya endlini yangasese ngaphambi kokulala.
• KULUNGILE ukunciphisa inani loketshezi ingane yakho eliphuza emahoreni ambalwa ngaphambi kokulala. Musa nje ukweqisa.
• Klomelisa ingane yakho ngobusuku obomile.

Ungase futhi uzame ukusebenzisa i-alamu yokukhipha umbhede. Lawa ma-alamu mancane futhi kulula ukuwathenga ngaphandle kwencwadi kadokotela. Ama-alamu asebenza ngokuvusa izingane lapho ziqala ukuchama. Ngemuva kwalokho bangasukuma basebenzise indlu yangasese.

• Ama-alamu okususa umbhede asebenza kangcono uma uwasebenzisa njalo ebusuku.
• Ukuqeqeshwa kwe-alamu kungathatha izinyanga ezimbalwa ukusebenza kahle.
• Uma ingane yakho yomile amasonto amathathu, qhubeka nokusebenzisa i-alamu amanye amasonto ama-2. Bese ume.
• Ungadinga ukuqeqesha ingane yakho kaningi.

Ungase futhi uthande ukusebenzisa ishadi noma ugcine idayari izingane zakho ezingazimaka njalo ekuseni lapho zivuka zomile. Lokhu kusiza kakhulu izingane, ezineminyaka engu-5 kuya kwengu-8 ubudala. Izidayari zikuvumela ukuthi ubone amaphethini emikhubeni yengane yakho engasiza. Ungakhombisa futhi le diary kudokotela wengane yakho. Bhala phansi:

• Lapho ingane yakho ichama ngokwejwayelekile phakathi nosuku
• Noma iziphi iziqephu zokumanzisa
• Okudliwa nayiphuzwa yingane yakho phakathi nosuku (kufaka phakathi nesikhathi sokudla)
• Lapho ingane yakho ilala, ilala ebusuku, bese ivuka ekuseni

Hlala wazisa umhlinzeki wezokunakekelwa kwempilo yengane yakho nganoma yiziphi iziqephu zokumanzisa umbhede. Ingane kufanele ihlolwe ngokomzimba kanye nokuhlolwa komchamo ukukhipha ukutheleleka komgudu womchamo noma ezinye izimbangela.

Xhumana nomhlinzeki wengane yakho ngokushesha uma ingane yakho inezinhlungu ngokuchama, umkhuhlane, noma igazi emchameni. Lokhu kungaba yizimpawu zesifo esizodinga ukwelashwa.

Kufanele futhi ushayele umhlinzeki wengane yakho:

• Uma ingane yakho yomile izinyanga eziyisi-6, bese uqala ukukhipha umbhede futhi. Umhlinzeki uzobheka imbangela yokwehla kombhede ngaphambi kokuncoma ukwelashwa.
• Uma uke wazama ukuzinakekela ekhaya futhi ingane yakho isamanzisa umbhede.

Udokotela wengane yakho angakunikeza umuthi obizwa nge-DDAVP (desmopressin) ukwelapha ukumanzisa umbhede. Izokwehlisa inani lomchamo okhiqizwe ebusuku. Kungabekwa isikhathi esifushane sokulala, noma kusetshenziswe isikhathi eside izinyanga. Abanye abazali bathola ukuthi ama-alamu okususa umbhede ahlanganiswe nomuthi asebenza kangcono kakhulu. Umhlinzeki wengane yakho uzosebenzisana nawe ukuthola isisombululo esifanele wena nengane yakho.

I-Enuresis; I-enuresis yasebusuku

ICapdevilia OS. Ama-enuresis ahlobene nokulala. Ku: Sheldon SH, Ferber R, Kryger MH, Gozal D, ama-eds. Izimiso Nokuzilolonga Kwemithi Yokulala Yezingane. Okwesibili. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 13.

Umdala JS. Ukuqinisekisa ukungasebenzi kwe-Enuresis nokuvala. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2020: isahluko 558.

I-Leung AKC. I-enuresis yasebusuku. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kukaConn 2020. IPhiladelphia, PA: Elsevier; 2020: 1228-1230.

• Ukumanzisa embhedeni