Ukungahambisani nomchamo wezingane: kuyini, izimpawu nokwelashwa

-Delile

• Ziyini izimpawu
• Izimbangela eziyinhloko
• Yelashwa kanjani

Ukungahambi kahle komchamo kwengane kulapho ingane, engaphezu kweminyaka emihlanu ubudala, ingakwazi ukubamba ipipi emini noma ebusuku, ichame embhedeni noma imanzise iphenti noma izingubo zangaphansi. Lapho ukulahleka komchamo kwenzeka emini, kubizwa ngokuthi yi-dayure enuresis, kanti ukulahleka ebusuku kubizwa nge-nocturnal enuresis.

Imvamisa, ingane iyakwazi ukulawula uchoko kanye nodoti kahle, ngaphandle kwesidingo sokwelashwa okuthile, kepha kwesinye isikhathi kungadingeka ukwenza ukwelashwa ngamadivayisi akho, izidakamizwa noma ukwelashwa ngokomzimba.

Ziyini izimpawu

Izimpawu zokungahambi kahle komchamo zivame ukubonwa ezinganeni ezineminyaka engaphezu kwemi-5, lapho abazali bangabona khona ezinye zezimpawu ezinjenge:

• Ukungakwazi ukubamba ipipi emini, ukugcina iphenti lakho noma izingubo zangaphansi zimanzi, kunomswakama noma kunephunga;
• Ukungakwazi ukubamba ipipi ebusuku, ukuchama embhedeni, ngaphezu kwesisodwa ngesonto.

Iminyaka lapho ingane ikwazi ukulawula uchoko emini nasebusuku iyahluka phakathi kweminyaka emi-2 nengu-4, ngakho-ke uma ngemuva kwalesi sigaba ingane kusafanele ifake inabukeni emini noma phakathi nobusuku, kufanele ukhulume udokotela wezingane ngale ndaba, njengoba kungakhoneka ngaleyo ndlela ukuthola imbangela yokungazibambi futhi, ngalokho, ukukhombisa ukwelashwa okufanele kakhulu.

Izimbangela eziyinhloko

Ukungazibambi komchamo enganeni kungenzeka ngenxa yezimo ezithile noma indlela yokuziphatha kwengane, okuyiyona eyinhloko:

• Ukutheleleka njalo komchamo;
• Isinye esisebenza ngokweqile, lapho imisipha ekhonza ukuvimbela umchamo ukuba ungaphunyuki inkontileka ngokungazibandakanyi, okuholela ekuphunyukeni komchamo;
• Izinguquko ohlelweni lwezinzwa, njenge-cerebral palsy, i-spina bifida, ubuchopho noma ukulimala kwemizwa.

• Ukwandisa ukukhiqizwa komchamo ebusuku;
• Ukukhathazeka;
• Izimbangela zofuzo, njengoba kunamathuba angama-40% okuthi ingane izokhamuluka embhedeni uma lokhu kwenzeka komunye wabazali bayo, kanye no-70% uma ngabe bebobabili.

Ngaphezu kwalokho, ezinye izingane zingase zingasinaki isifiso sokuchama ukuze ziqhubeke nokudlala, okungadala ukuthi isinye sigcwale kakhulu futhi kubangele, ekuhambeni kwesikhathi, ekwenzeni buthakathaka imisipha yendawo ye-pelvic, ithande ukungazibambi.

Yelashwa kanjani

Ukwelashwa kokungasebenzi kahle komchamo ebuntwaneni kufanele kuqondiswe ngudokotela wezingane futhi kuhlose ukufundisa ingane ukuthi ibone izimpawu zokuthi idinga ukuya endlini yangasese futhi iqinise imisipha yendawo ye-pelvic. Ngakho-ke, ezinye izindlela zokwelashwa ezingakhonjiswa yilezi:

• Ama-alamu we-Urinary, okungamathuluzi anenzwa ebekwe phezu kwephenti noma izingubo zangaphansi zengane futhi ezithintayo lapho iqala ukuchama, imvuse futhi imenze abe nomkhuba wokuvuka ayochama;
• I-Physiotherapy yokungahambisani nomchamo wobuntwana, okuhlose ukuqinisa imisipha yesinye, ukuhlela isikhathi ingane okufanele ichame ngaso kanye ne-sacral neurostimulation, okuyindlela ekhuthazayo yokulawula isinye sphincter;
• Amakhambi we-Anticholinergic, njenge-Desmopressin, i-Oxybutynin ne-Imipramine, ekhonjiswa ikakhulu esimweni sesinye esisebenza ngokweqile, njengoba la makhambi ehlisa isinye futhi anciphisa ukukhiqizwa komchamo.

Ngaphezu kwalokho, kunconywa ukuthi unganikezi ingane iziphuzo ngemuva kwehora lesi-8 kusihlwa futhi uthathe ingane ukuthi iyochama ngaphambi kokulala, ngoba ngale ndlela kungenzeka ukuvimbela isinye ukuba sigcwale nengane ichame embhedeni ebusuku .