I-nocturnal enuresis: yini, izimbangela eziyinhloko nokuthi yini okufanele uyenze ukusiza

-Delile

• Izimbangela eziyinhloko ze-enuresis
• Izinyathelo ezi-6 zokusiza ingane yakho ukuthi ingachami embhedeni
• 1. Gcina ukuqiniswa okuhle
• 2. Qeqesha ukulawula umchamo
• 3. Ukuvuka ebusuku uyochama
• 4. Thatha imithi ekhonjiswe ngudokotela wezingane
• 5.Gqoka inzwa ugqoke amaphijama
• 6. Yenza ukwelashwa okushukumisayo

I-enuresis yasebusuku ihambelana nesimo lapho ingane ilahlekelwa khona umchamo ngokungathandeki ngesikhathi sokulala, okungenani kabili ngeviki, ngaphandle kwenkinga ehlobene nohlelo lokuchama olukhonjwayo.

Ukumanzisa embhedeni kuvamile ezinganeni kuze kufike eminyakeni emithathu ubudala, ngoba azikwazi ukubona isifiso sokuya endlini yangasese ukuyochama noma zingakwazi ukukubamba. Kodwa-ke, lapho ingane ichamela embhedeni kaningi, ikakhulukazi lapho isineminyaka engaphezu kwengu-3 ubudala, kubalulekile ukuyiyisa kudokotela wezingane ukuze kwenziwe izivivinyo ezingakhomba imbangela ye-enuresis yasebusuku.

Izimbangela eziyinhloko ze-enuresis

I-enuresis yasebusuku ingahlukaniswa nge:

• I-enuresis eyinhloko, lapho ingane ihlale idinga amanabukeni ukugwema ukukhishwa embhedeni, njengoba ingakaze ikwazi ukubamba ipipi ebusuku;
• I-enuresis yesibili, lapho ivela njengomphumela wento ethile ebangela, lapho ingane ibuyela embhedeni umanzisa ngemuva kwesikhathi esithile sokulawula.

Kungakhathalekile ukuthi hlobo luni lwe-enuresis, kubalulekile ukuthi imbangela iphenywe ukuze kuqale ukwelashwa okufanele kakhulu. Izimbangela eziyinhloko ze-enuresis yasebusuku yilezi:

• Ukubambezeleka kokukhula:izingane eziqala ukuhamba ngemuva kwezinyanga eziyi-18, ezingalawuli indle yazo noma ezinenkinga yokukhuluma, zinamathuba amaningi okuthi zingalawuli umchamo wazo zingakabi neminyaka engu-5;
• Izinkinga zengqondo:izingane ezinezifo zengqondo ezifana ne-schizophrenia noma izinkinga ezinjenge-hyperactivity noma ukunakwa kokunakwa, azikwazi ukulawula umchamo ebusuku;
• Ukucindezeleka:izimo ezifana nokuhlukana nabazali, izimpi, ukuzalwa kwengane yakini kungenza kube nzima ukulawula umchamo ebusuku;
• Isifo sikashukela:ubunzima bokulawula umchamo bungahlanganiswa nokoma kakhulu nendlala, ukwehla kwesisindo kanye nokushintsha kombono, okungenye yezimpawu zesifo sikashukela.

Kungenzeka ukusola i-enuresis yasebusuku lapho ingane ineminyaka engu-4 ubudala futhi isachama embhedeni noma lapho iphinde ichame embhedeni ngemuva kokuchitha izinyanga ezingaphezu kwezingu-6 kulawulwa umchamo. Kodwa-ke, ekutholeni i-enuresis, ingane kufanele ihlolwe ngudokotela wezingane futhi ezinye izivivinyo, njengokuhlolwa komchamo, i-ultrasound yesinye kanye nokuhlolwa kwe-urodynamic, okwenziwa ukutadisha ukugcinwa, ukuthuthwa nokukhishwa komchamo, kufanele kwenziwe.

Izinyathelo ezi-6 zokusiza ingane yakho ukuthi ingachami embhedeni

Ukwelashwa kwe-enuresis yasebusuku kubaluleke kakhulu futhi kufanele kuqalwe ngokushesha okukhulu, ikakhulukazi phakathi kweminyaka eyi-6 nengu-8 ubudala, ukugwema izinkinga ezinjengokuzihlukanisa nomphakathi, izingxabano nabazali, izimo zokuhlukunyezwa nokwehla kokuzethemba, ngokwesibonelo. Ngakho-ke, amanye amasu angasiza ekwelapheni i-enuresis afaka:

1. Gcina ukuqiniswa okuhle

Ingane kufanele iklonyeliswe ngobusuku obomile, okuyilezo lapho ikwazi ukungachami embhedeni, ukwangana, ukwanga noma izinkanyezi, ngokwesibonelo.

2. Qeqesha ukulawula umchamo

Lokhu kuqeqeshwa kufanele kwenziwe kanye ngesonto, ukuqeqesha amandla okubona ukuzwa kwesinye esigcwele. Ngalokhu, ingane kufanele iphuze okungenani izingilazi ezintathu zamanzi futhi ilawule isifiso sokuchama okungenani imizuzu emithathu. Uma engakwazi ukuyithatha, ngesonto elizayo kufanele athathe imizuzu eyisithupha bese kuthi ngesonto elilandelayo athathe imizuzu engu-9. Inhloso ukuthi akwazi ukuhamba ngaphandle kokuchama imizuzu engama-45.

3. Ukuvuka ebusuku uyochama

Ukuvusa ingane okungenani amahlandla ama-2 ebusuku ukuze ichame isu elihle lokuthi bafunde ukubamba kahle pee. Kungasiza ukuchama ngaphambi kokulala bese usetha i-alamu ukuvusa amahora amathathu ngemuva kokulala. Lapho evuka, umuntu kufanele ngokushesha ayochama. Uma ingane yakho ilele ngaphezu kwamahora ayisithupha, setha iwashi njalo ngamahora amathathu.

4. Thatha imithi ekhonjiswe ngudokotela wezingane

Udokotela wezingane angancoma ukusetshenziswa kwemithi, efana ne-Desmopressin, ukunciphisa ukukhiqizwa komchamo ebusuku noma ukuthatha imishanguzo efana ne-Imipramine, ikakhulukazi uma kunokungasebenzi kahle noma ukunakwa noma i-anticholinergics, njenge-oxybutynin, uma kunesidingo.

5.Gqoka inzwa ugqoke amaphijama

I-alamu ingasetshenziswa kuma-pajama, enza umsindo lapho ingane ichama kuma-pajama, okwenza ingane ivuke ngoba inzwa ithola ubukhona be-pee kuma-pajama.

6. Yenza ukwelashwa okushukumisayo

Ukwelashwa okugqugquzelayo kufanele kukhonjiswe ngudokotela wezengqondo futhi enye yezindlela ukucela ingane ukuthi ishintshe iwashe izingubo zokulala nezokulala noma nini lapho ichama embhedeni, ikhuphule umthwalo wayo.

Imvamisa, ukwelashwa kuhlala phakathi kwezinyanga ezi-1 kuye kwezi-3 futhi kudinga ukusetshenziswa kwamasu amaningi ngasikhathi sinye, ngokubambisana kwabazali kubaluleke kakhulu enganeni ukuze ifunde ukungachami embhedeni.