Nocturnal enuresis: he aha ia, nā kumu nui a me nā mea e hana ai e kōkua

Anter
- Nā kumu nui o ka enuresis
- Nā ʻanuʻu he 6 e kōkua ai i kāu keiki ʻaʻole e pee ma ka moe
- 1. Mālama i ka hoʻoikaika maikaʻi
- 2. Hoʻomaʻamaʻa ka mimi
- 3. E ala ana i ka pō e pī
- 4. Lawe i nā lāʻau i kuhikuhi ʻia e ka pediatric
- 5. Wear mīkiniʻimi i nā pajama
- 6. Hana i ka hoʻoikaika hoʻoikaika
Kūlike ʻo Nocturnal enuresis i kahi kūlana i nalowale ʻole ke keiki i ka mimi i ka wā hiamoe, ma ka liʻiliʻi ʻelua mau manawa o ka pule, me ka pilikia ʻole e pili ana i ka ʻōnaehana urinary e ʻike ʻia.
ʻO ka pulu ʻana o ka moe ka mea maʻa mau i waena o nā keiki a hiki i nā makahiki 3, no ka mea ʻaʻole hiki iā lākou ke hoʻomaopopo i ka makemake e hele i ka lua no ka mimiki ʻana a i ʻole hiki ke lawelawe iā ia. Eia nō naʻe, ke peʻa pinepine ke keiki ma luna o kahi moe, keu ʻoi aku ia ma mua o 3 mau makahiki, he mea nui e lawe iā ia i ka pediatrician i hiki i nā hoʻokolohua ke hiki ke ʻike i ke kumu o ka enuresis nocturnal.

Nā kumu nui o ka enuresis
Hiki ke hoʻokaʻawale ʻia ʻo enuresis Nocturnal i:
- ʻO ka enuresis mua, ke makemake mau ke keiki i nā pale pale e pale i ka moe moe ʻana, ʻoiai ʻaʻole i hiki iā ia ke hoʻopaʻa i ka pee i ka pō;
- Enuresis lua, ke kū mai ia ma ke ʻano he hopena o kekahi mea e hoʻoulu ai, kahi e hoʻi ai ke keiki i ka pulu ʻana o ka moena ma hope o ka manawa o ka kaohi.
Nānā ʻole i ke ʻano o ka enuresis, he mea nui e nānā ʻia ke kumu i hiki ai ke hoʻomaka i ka lapaʻau kūpono loa. ʻO nā kumu nui o ka enctis nocturnal:
- Hoʻolālā ulu:ʻo nā keiki e hoʻomaka i ka hele wāwae ma hope o 18 mau mahina, ka mea i kaohi ʻole i ko lākou pahu noho a i ʻole paʻakikī ka ʻōlelo ʻana, ʻaʻole lākou e kaohi i ko lākou mimi ma mua o ka makahiki 5;
- Nā pilikia noʻonoʻo:ʻo nā keiki me nā maʻi psychiatric e like me schizophrenia a i ʻole nā pilikia e like me hyperactivity a i ʻole deficit attention, hiki ʻole ke kaohi i ka mimi i ka pō;
- Kaumaha:nā hanana e like me ke kaʻawale ʻana mai nā mākua, nā hakakā, ka hānau ʻana o kahi kaikaina hiki ke paʻakikī i ka kaohi ʻana i ka mimi i ka pō;
- Diabetes:hiki ke hoʻopili ʻia ka paʻakikī i ka kaohi ʻana i ka mimi me ka nui o ka make wai a me ka pōloli, ka pohō a me nā loli ʻike, ʻo ia kekahi o nā ʻōuli o ka maʻi kō.
Hiki ke kānalua i ka enctis nocturnal ke piha ke keiki i ka 4 mau makahiki a ke peʻe nei i ka moena a i ʻole ke pee hou ʻana i ka moena ma hope o ka hala ʻana o 6 mahina i ka kaohi mimi. Eia nō naʻe, no ka hōʻailona o enuresis, pono e loiloi ʻia ke keiki e ka pediatrician a me kekahi mau hoʻokolohua, e like me ka mimi, ultrasound bladder a me ka hōʻike urodynamic, i hana ʻia e hoʻopaʻa i ka mālama ʻana, ka lawe ʻana a me ka ninini ʻana i ka mimi.
Nā ʻanuʻu he 6 e kōkua ai i kāu keiki ʻaʻole e pee ma ka moe
He mea nui ka mālama ʻana i ka enctis nocturnal a pono e hoʻomaka koke ʻia, keu hoʻi ma waena o 6 a me 8 mau makahiki o ka makahiki, e hōʻalo ai i nā pilikia e like me ke kaʻawale ʻana o ka nohona, nā hakakā me nā mākua, nā kūlana hoʻomāinoino a hoʻemi i ka manaʻo pilikino, no ka laʻana. No laila, kekahi o nā ʻenehana i hiki ke kōkua i ka hoʻōla enuresis me:
1. Mālama i ka hoʻoikaika maikaʻi
Pono e uku ʻia ke keiki i nā pō maloʻo, ʻo ia kēlā mau manawa ke hiki ʻole iā ia ke pee i ka moe, ke ʻapo ʻana, nā honi a me nā hōkū, no ka laʻana.
2. Hoʻomaʻamaʻa ka mimi
Pono e hana i kēia hoʻomaʻamaʻa i hoʻokahi manawa i kēlā me kēia pule, e hoʻomaʻamaʻa i ka hiki ke ʻike i ke ʻano o ka piha o ka bladder. No kēia, pono e inu ke keiki ma ka liʻiliʻi he 3 mau aniani o ka wai a kāohi i ka makemake e mimi no 3 mau minuke ma ka liʻiliʻi. Inā hiki iā ia ke lawe, i kēia pule aʻe lawe ʻo ia i 6 mau minuke a i ka pule aʻe, 9 mau minuke. ʻO ka pahuhopu hiki iā ia ke hele me ka ʻole o ka huhū no 45 mau minuke.
3. E ala ana i ka pō e pī
ʻO ke ala ʻana i ke keiki ma ka liʻiliʻi he 2 mau manawa i ka pō e pī he papahana maikaʻi ia na lākou e aʻo e paʻa pono i ka pī. Hiki ke kūpono i ka pee ma mua o ka hiamoe ʻana a hoʻonohonoho i kahi pūoho e ala aʻe i 3 mau hola ma hope o ka hiamoe. Ke ala aʻe, e hele koke kekahi i ka pee. Inā hiamoe kāu keiki ma mua o 6 mau hola, e hoʻonoho i ka uaki alarm no kēlā me kēia 3 hola.
4. Lawe i nā lāʻau i kuhikuhi ʻia e ka pediatric
Hiki i ke kauka lapaʻau ke koi aku i ka hoʻohana ʻana i nā lāʻau, e like me Desmopressin, e hoʻoliʻiliʻi i ka hana mimi i ka pō a i ʻole lawe i nā antidepressants e like me Imipramine, keu hoʻi i ka hyperactivity a i ʻole deficit attention a i ʻole anticholinergics, e like me ka oxybutynin, inā pono.
5. Wear mīkiniʻimi i nā pajama
Hiki ke hoʻopili ʻia kahi pū waikaua i nā pajama, kahi e kani ai ke kani ʻana o ke keiki i nā pajama, e ala ai ke keiki no ka mea ʻike ka mea ʻike i ke kū ʻana o ka pee i loko o nā pajama.
6. Hana i ka hoʻoikaika hoʻoikaika
Pono e hōʻike ʻia ka stimoterational therapy e ka psychologist a ʻo kekahi o nā ʻenehana ke noi i ke keiki e hoʻololi a holoi i kona lole moe a me nā wahi moe ke hele ʻo ia ma luna o kahi moe, e hoʻonui i kāna kuleana.
ʻO ka maʻamau, mau ka hoʻomaʻamaʻa ma waena o 1 a 3 mau mahina a koi i ka hoʻohana ʻana o kekahi mau hana i ka manawa like, me ka laulima ʻana o nā mākua i mea nui no ke keiki e aʻo ʻaʻole e pee i ka moe.