Kev tsis tuaj yeem hauv cov menyuam yaus yog ib qho teeb meem tshwm sim. Nws tuaj yeem cuam tshuam nrog ob qho tib si physiological teeb meem thiab kev puas siab puas ntsws. Lawm, ntau tus niam txiv txaus siab rau cov lus nug txog yuav ua li cas kho enuresis hauv tus menyuam zoo li. Tom qab tag nrho, cov ntaub ntawv ntub dej thiab lub cev tsis muaj peev xwm tswj tau koj lub zais zis tsis zoo cuam tshuam rau tus menyuam tus mob hauv thawj qhov chaw.
Vim li cas cov kab mob no tshwm sim? Puas yog nocturnal enuresis txaus ntshai rau tus menyuam hnub nyoog 6 xyoo? Puas yog kev kho mob nrog tshuaj? Thaum twg koj yuav tsum pib txhawj txog incontinence? Cov kws kho mob tuaj yeem pom zoo li cas? Cov lus teb rau cov lus nug no tseem ceeb rau txhua tus niam txiv.
YPathology yog dab tsi?
Ntau tus niam txiv tau ntsib teeb meem xws li enuresis hauv menyuam yaus. Ua rau thiab kev kho mob yog, ntawm chav kawm, cov ntaub ntawv tseem ceeb. Tab sis ua ntej, koj yuav tsum nyeem cov lus qhia dav dav.
Enuresis hu ua involuntary tso zis, thiab qhov no tuaj yeem tshwm sim thaum hmo ntuj (thaum pw tsaug zog) thiab thaum nruab hnub. Nyob rau hauv cov me nyuam mus txogib lub hnub nyoog, xws li ib tug mob yog suav tias yog ib txwm, txij li thaum lub conditioned reflexes uas pab tswj cov txheej txheem ntawm tso zis tseem nyob rau theem ntawm tsim. Ntawm qhov tod tes, enuresis tuaj yeem qhia txog ntau yam kab mob, teeb meem kev xav thiab puas siab puas ntsws. Los ntawm txoj kev, raws li kev txheeb cais, cov tub hluas tau ntsib nrog cov kab mob zoo sib xws 2-3 zaug ntau dua li lawv cov phooj ywg.
Ib txwm, qhov teeb meem zoo li no tsis tuaj yeem tab sis ua rau muaj kev cuam tshuam txog kev loj hlob ntawm tus menyuam. Piv txwv li, nocturnal enuresis nyob rau hauv cov me nyuam hnub nyoog 8 xyoo (peb yuav xav txog nws cov kev kho mob nyob rau hauv tsab xov xwm) yuav ua rau ntau heev shyness, nervousness, nyob ib leeg. Yog vim li cas qhov teeb meem yuav tsum tsis txhob ignored. Yog li, yuav ua li cas kho enuresis hauv menyuam yaus zoo li cas? Lo lus teb rau lo lus nug no tseem ceeb heev rau txhua tus niam txiv.
Lub hnub nyoog twg tuaj yeem tswj tau qhov teeb meem?
Raws li koj paub, cov menyuam yaus xav tau sijhawm los tswj hwm lub zais zis. Nws ntseeg tau tias qhov nocturnal enuresis hauv tus menyuam hnub nyoog 5 xyoos tsis tas yuav kho. Vim li cas? Qhov tseeb yog tias mus txog rau thaum muaj hnub nyoog 5-6 xyoo, qhov tsim ntawm qhov mob tshwm sim rau tso zis tshwm sim, yog li los ntawm lub sijhawm no, ntu ntu ntawm kev tso tawm tsis txaus ntseeg tuaj yeem suav tias yog tus qauv.
Los ntawm txoj kev, kev kho mob ntawm enuresis hauv cov menyuam yaus hnub nyoog 8 xyoo tuaj yeem txo qis tsuas yog rau kev kho qhov niaj hnub niaj hnub thiab sab laj nrog kws kho mob hlwb. Thaum muaj hnub nyoog no, cais cov zis thaum hmo ntuj kuj tuaj yeem suav hais tias yog tus qauv. Txawm li cas los xij, yog tias qhov xwm txheej zoo li no tshwm sim tas li, txawm tias thaum lub sijhawm waking, ces qhov no yuav qhia tau tias muajkab mob thiab teeb meem loj. Hauv qhov no, nws tseem ceeb heev kom mus ntsib kws kho mob.
Kev faib tawm
Ua ntej xav txog kev kho mob ntawm enuresis hauv tus menyuam, nws tsim nyog paub koj tus kheej nrog cov ntaub ntawv ntawm cov kab mob no. Niaj hnub no muaj ntau yam kev faib tawm. Nyob ntawm seb qhov ua rau, lub sijhawm tshwm sim thiab cov txheej txheem ntawm kev loj hlob, ob hom kab mob yog qhov txawv:
- YPrimary enuresis. Ib daim ntawv zoo sib xws ntawm incontinence tau hais yog tias qhov kev mob tshwm sim rau lub zais zis tsis tau tsim. Tus me nyuam yeej tsis tau tswj hwm nws qhov kev thov.
- Secondary enuresis. Hauv qhov no, peb tab tom tham txog ib qho teeb meem uas tshwm sim tom qab, tom qab tus menyuam kawm tswj tso zis, sawv ntxov thiab mus rau chav dej.
Kuj incontinence tuaj yeem yog:
- cais - qhov no, tsuas muaj qhov tshwm sim nocturnal uas tshwm sim thaum pw tsaug zog;
- mixed - nruab hnub hmo ntuj koom nrog hmo ntuj ntub dej, thaum tus menyuam coj tus cwj pwm zoo, tab sis tso zis tseem tshwm sim tsis tau.
Nyob ntawm cov yam ntxwv ntawm daim duab kho mob, lawv txawv:
- monosymptomatic enuresis - tsuas yog incontinence tshwm sim, txwv tsis pub tus me nyuam coj zoo li qub;
- polysymptomatic enuresis - muaj lwm yam tsos mob uas qhia tias muaj kev puas hlwb, paj hlwb, endocrine thiab urological ntshawv siab.
Tau kawg, cov txheej txheem kev faib tawm zoo li noraug suav hais tias yog qee yam xwm txheej, vim tias muaj ntau yam ntxiv yuav tsum tau coj mus rau hauv tus account.
Qhov laj thawj tseem ceeb ntawm incontinence
Ntau tus niam txiv tau ntsib teeb meem xws li nocturnal thiab daytime enuresis hauv menyuam yaus. Kev kho mob hauv qhov no feem ntau yog nyob ntawm qhov ua rau ntawm txoj kev loj hlob ntawm pathology, yog li nws tsim nyog tshawb nrhiav qhov muaj feem yuav tshwm sim:
- Kev ncua ntawm kev loj hlob ntawm lub hauv nruab nrab lub paj hlwb, uas tej zaum yuav tshwm sim ntawm lub hlwb raug mob, pathologies raug kev txom nyem thaum yug me nyuam los yog intrauterine txoj kev loj hlob, ntau yam kab mob uas cuam tshuam rau lub paj hlwb.
- Kev ua haujlwm tsis zoo ntawm cov zis kuj feem ntau nrog kev tsis haum tshuaj. Cov npe ntawm cov ua rau muaj xws li pathologies xws li vesicoureteral reflux (cov zis yog pov tseg los ntawm lub zais zis rov qab mus rau hauv lub ureter), zais zis tsis ua hauj lwm, overactive zais zis syndrome, thiab lwm yam.
- Cov xwm txheej pheej hmoo suav nrog kev pw tsaug zog ntau dhau. Nws nyuaj heev rau tus menyuam sawv, tso zis tshwm sim thaum pw tsaug zog, tab sis tus menyuam tsis hnov nws.
- Kev tsis tuaj yeem tuaj yeem yog qhov tshwm sim ntawm qhov tsis txaus ntseeg ntawm cov tshuaj hormone vasopressin. Nws, qhov tseeb, tswj cov txheej txheem ntawm kev tsim thiab tso zis ntawm cov zis. Yog tias qib ntawm cov tshuaj tiv thaiv diuretic txo qis, cov zis ntau ntau yog tsim thaum hmo ntuj, uas feem ntau ua rau kev loj hlob ntawm enuresis.
- Muaj noob caj noob ces. Raws li kev txheeb cais, yog tias cov txheeb ze ncaj qha (niam txiv) muaj teeb meem zoo sib xws, qhov tshwm sim ntawm kev tsim cov zis incontinence hauv tus menyuam yog kwv yees li 75%.
- Tsis txhob hnov qab txogkev xav ntawm tus menyuam. Kev ntxhov siab ntev, kev puas siab puas ntsws - tag nrho cov no tsim cov xwm txheej ua ntej rau kev pw tsaug zog.
Nyob rau hauv tus txheej txheem ntawm kev kuaj mob, nws yog ib qho tseem ceeb heev kom paub tias dab tsi tshwm sim ntawm qhov teeb meem xws li enuresis nyob rau hauv ib tug me nyuam. Kev kho mob yuav nyob ntawm qhov no.
Yuav ua li cas lwm cov tsos mob kuv yuav tsum saib xyuas?
Koj twb paub dab tsi enuresis nyob rau hauv cov me nyuam. Kev kho mob hauv qhov no feem ntau nyob ntawm qhov ua rau incontinence thiab cuam tshuam cov teeb meem.
Enuresis tau hais tias yog thaum menyuam yaus tswj tsis tau cov txheej txheem tso zis. Nyob rau hauv rooj plaub no, lub sijhawm ntawm incontinence tuaj yeem tshwm sim ntau zaus hauv ib hnub lossis 1-2 zaug hauv ib hlis. Qee lub sij hawm muaj qhov hu ua qhov tseem ceeb, thaum lub siab xav kom zais zais zis muaj zog heev uas tus menyuam tswj tsis tau.
Cov niam txiv raug qhia kom xyuam xim rau lwm yam tsos mob. Qee zaum enuresis yog txuam nrog kev puas hlwb thiab kev puas hlwb. Incontinence tuaj yeem nrog cov tsos mob xws li kev ntxhov siab ntau ntxiv thiab kev chim siab, kev txaj muag ntau dhau, kev sib cais, qhov tsis zoo. Qee lub sij hawm muaj ntau yam phobias, nrog rau kev ntxhov siab tics, stuttering. Cov tsos mob tseem ceeb kuj muaj xws li kev pw tsaug zog, tshwj xeeb, teeb meem nrog kev tsaug zog, taug kev thiab hais lus hauv npau suav, sib sib zog nqus heev los yog, ntawm qhov tsis sib xws, pw tsaug zog, muaj zog clenching ntawm lub puab tsaig, sib tsoo ntawm cov hniav. Tag nrho cov yam ntxwv no yuav tsum raug qhia rau tus kws kho mob.
Diagnosticcov txheej txheem
Pib nrog, tus kws kho mob yuav tsum sau cov ntaub ntawv ntau tshaj plaws. Cov keeb kwm kho mob yuav tsum suav nrog cov ntaub ntawv hais txog qhov xwm txheej ntawm enuresis, zaus ntawm lub sijhawm tsis muaj zog, thiab muaj cov tsos mob tshwm sim. Tsis tas li, tus kws kho mob tshwj xeeb yuav nug seb tus menyuam puas muaj kab mob sib kis, yog tias muaj teeb meem thaum yug menyuam lossis cev xeeb tub, thiab lwm yam.
Ua raws li kev tshuaj xyuas dav dav, thaum lub sijhawm kuaj xyuas cov kab mob hauv plab, qhov ntsuas ntawm qhov rhiab heev ntawm perineum, lub suab ntawm qhov quav sphincter, thiab lwm yam.
Tus me nyuam kuj tau kuaj ntshav thiab zis. Yog tias koj xav tias muaj kev raug mob lossis qhov txawv txav ntawm lub cev hauv cov qauv ntawm tus txha caj qaum, x-ray yog ua. Yog tias muaj cov tsos mob ntawm lub hlwb tsis zoo, ces tus menyuam raug xa mus rau electroencephalography. Cov npe ntawm cov txheej txheem kuaj mob ntxiv suav nrog cystoscopy, uroflowmetry, ultrasound ntawm lub raum thiab zais zis.
Tshuaj kho mob enuresis hauv menyuam yaus
Yuav ua li cas yog tias muaj teeb meem zoo sib xws? Yuav kho enuresis hauv cov menyuam li cas? Ua rau thiab kev kho mob hauv qhov xwm txheej no zoo sib xws.
Yog tias muaj kev xav tias ncua sijhawm ntawm kev txhim kho cov hlab ntsha ntawm cov zis, ces qee yam tshuaj siv tau:
- Cortexin feem ntau siv. Xws li ib tug cuab yeej accelerates txoj kev loj hlob ntawm cov qauv ntawm lub hauv paus paj hlwb. Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm kev daws rau intramuscular txhaj. Cov kev kho mob feem ntau muajkaum txhaj tshuaj.
- Nootropic tshuaj kuj tseem siv, tshwj xeeb yog Calcium Hopantenate lossis Pantocalcin. Cov nyiaj zoo li no txhim kho cov ntshav ncig hauv lub hlwb, ua kom cov hlab ntsha cuam tshuam, thiab pab tus menyuam sib sau cov txuj ci tshiab.
Yog tias qhov ua rau enuresis yog nce kev ua haujlwm ntawm lub zais zis, uas, los ntawm txoj kev, nrog rau kev tso zis ntau zaus, ces cov tshuaj hauv qab no suav nrog hauv kev kho mob:
- "Oxybutynin" lossis "Driptan" - thaiv kev ua haujlwm ntau dhau ntawm cov leeg nqaij ntawm lub zais zis. Nws raug sau tseg rau kev kho mob ntawm cov menyuam yaus hnub nyoog qis dua tsib xyoos. Kev kho mob yuav kav ntev li ib hlis.
- Cov txiaj ntsig zoo sib xws yog muab los ntawm cov tshuaj xws li Tolterodine thiab Detruzitol. Cov tshuaj no tau siv ntau zaus vim lawv ua tau zoo dua los ntawm tus menyuam lub cev.
Yog tias muaj kab mob sib kis, ces siv tshuaj tua kab mob dav dav, tshwj xeeb yog Augmentin (cov me nyuam daim ntawv). "Kanefron" - ib yam tshuaj uas muaj tshuaj ntsuab, pab normalize lub excretory system thiab tiv nrog cov teebmeem ntawm o.
Qee zaum cov tshuaj uas muaj cov tshuaj tiv thaiv diuretic kuj suav nrog hauv kev kho mob. Qhov no yuav pab txo cov zis tso zis thaum hmo ntuj. Thaum nws los txog rau kev kho lub cev, qee zaum cov kws kho mob pom zoo cov pob khoom paraffin tsim los ua kom sov thaj chaw suprapubic.
Tus menyuam tseem raug xa mus rau kev sab laj nrog kws kho mob hlwb, tshwj xeeb tshaj yog tias muaj kev xav tias muaj kev puas siab puas ntsws keeb kwm ntawm enuresis. Cov lus qhia nrog tus kws paub txog kev paubpab tus menyuam tiv nrog phobias, kev ntxhov siab, chim siab thiab lwm yam kev puas siab puas ntsws, kev xav.
Qee zaum tsis xav tau kev kho mob hlo li. Raws li kev txheeb cais, kwv yees li 15% ntawm cov neeg mob, pathology ploj mus ntawm nws tus kheej, tsis muaj kev kho. Cov kws kho mob koom nrog xws li kev kho tus kheej nrog kev ua tiav ntawm kev tsim cov tshuaj kho mob.
Minirin siv rau dab tsi?
Kev kho mob ntawm enuresis (yog tias tus menyuam muaj 7 xyoos lossis laus dua) yuav suav nrog kev noj tshuaj Minirin. Cov tshuaj nquag ntawm cov tshuaj no yog desmopressin, uas yog ib qho analogue ntawm ntuj vasopressin. Cov tshuaj no yog secreted los ntawm pituitary caj pas nyob rau hauv tib neeg lub hlwb.
Desmopressin ua rau cov tubules distal convoluted, nce permeability ntawm epithelium. Qhov no ua rau cov txheej txheem ntawm cov dej reabsorption thiab ua rau txo qis ntawm cov zis tso tawm. Cov tshuaj zoo sib xws yog dav siv los kho thawj enuresis hauv cov menyuam yaus, nrog rau kev tshem tawm cov tsos mob ntawm ntshav qab zib insipidus.
Cov tshuaj tuaj hauv daim ntawv me me me me uas yuav tsum tau nqus. Cov tshuaj muaj ib co contraindications. Nws yuav tsum tsis txhob siv yog tias tus neeg mob muaj teeb meem hauv qab no:
- ua xua rhiab;
- ntau hom mob raum tsis ua haujlwm;
- risk plawv tsis ua hauj lwm;
- polydipsia;
- tshuaj kuj tsis pub rau menyuam yaus hnub nyoog qis dua rau xyoo.
Nws tsim nyog sau cia tias qhov kev kho zoo li no tau zam los ntawm me mecov neeg mob. Cov kev xav ntawm kws kho mob kuj hais txog qhov no. Cov tshuaj tiv thaiv tsis zoo, tshwj xeeb yog xeev siab, hnyav nce, convulsions, tsis tshua muaj neeg.
Kuv puas yuav tsa kuv tus menyuam sawv thaum hmo ntuj?
Peb twb paub lawm tias kev kho mob enuresis hauv cov menyuam zoo li cas hauv tsev. Qee zaum, cov niam txiv txiav txim siab tsa tus menyuam thaum hmo ntuj ua ntej lub zais zis tsis tuaj yeem tshwm sim. Nws yog tsim nyog sau cia tias ob peb xyoos tom qab ntawd, cov kws kho mob pom zoo rau txoj hauv kev no.
Hnub no, cov kws kho mob tsis qhia waking tus menyuam. Piv txwv tias muaj enuresis hauv tus menyuam hnub nyoog 6 xyoo. Kev kho mob los ntawm kev nce hmo ntuj tsis zoo li yuav muaj qhov xav tau. Qhov tseeb yog tias kev tso zis tsis nco qab nws yog qhov yuav tsum tau tsa tus menyuam, uas tsis yog ib txwm ua tau. Yog hais tias tus me nyuam mos thaum pw tsaug zog ib nrab, qhov no tsuas yog txhawb nqa lub cev tsis nco qab txog kev tso zis.
Yog tias koj tseem txiav txim siab tsa tus menyuam hmo ntuj, xyuas kom tus menyuam tsaug zog ua ntej mus rau chav dej. Hauv qhov no, koj yuav tsum ua raws li lub tswv yim. Thawj lub lim tiam, koj yuav tsum tsa tus menyuam txhua teev. Nyob rau yav tom ntej, lub sijhawm yuav tsum maj mam nce ntxiv.
Nyob zoo rau niam txiv
Kev kho mob ntawm enuresis hauv tus menyuam yuav tsum tau ua kom tiav los ntawm kev noj zaub mov kom raug thiab kev noj haus. Tsis tas li ntawd, kev txhawb nqa ntawm cov niam txiv tseem ceeb heev rau tus menyuam. Yog vim li cas nws thiaj tsim nyog ua raws li qee txoj cai:
- Tsis txhob rau txim rau koj tus menyuam rau lub sijhawm tsis muaj zog. Tom qab tag nrho, qhov no tsis txhob txwm, tab sisarbitrarily. Yog li ntawd, nws tsis pom zoo kom cem tus menyuam, yuam nws kom ntxuav cov ntawv ntub dej thiab tsom ntau dhau rau qhov no. Xws li tus cwj pwm ntawm cov niam txiv yuav tsis muab cov txiaj ntsig xav tau, tab sis tsuas yog tsim cov nyom hauv tus menyuam. Cov khoom plig ua haujlwm zoo dua. Yog thaum sawv ntxov tus me nyuam sawv qhuav qhuav, ces nws yuav tsum qhuas.
- Tsis muaj teeb meem koj yuav tsum txo cov dej txhua hnub uas koj haus. Tau kawg, yog tias tus menyuam haus dej tsis txaus, ces cov sijhawm ntawm kev tsis tuaj yeem tshwm sim tsawg dua, tab sis qhov no tuaj yeem ua rau lub cev qhuav dej, uas yog qhov ua rau muaj kev nyuaj siab dua.
- Txawm li cas los xij, kev haus dej haus yog tsim nyog. Txog rau thaum 17:00, tus menyuam yuav tsum haus 80% ntawm cov cai txhua hnub, tab sis thaum yav tsaus ntuj, cov dej haus yuav tsum txwv. Tsis txhob muab dej rau koj tus menyuam ntau ntau cov txiv hmab txiv ntoo thiab zaub mov diuretic peb teev ua ntej yuav mus pw. Tsis tas li ntawd, thaum yav tsaus ntuj, nws tsis pom zoo rau cov menyuam yaus haus tshuaj yej thiab lwm yam dej qab zib uas muaj caffeine.
- Kev pw tsaug zog yog qhov tseem ceeb. Yog li sim muab koj tus menyuam pw tib lub sijhawm.
- Ua ntej yuav mus pw, tus menyuam yuav tsum tau coj mus rau hauv chav dej.
- Thaum yav tsaus ntuj, kev ua si nquag, saib TV, ua si hauv computer yog qhov tsis xav tau.
- Yuav tsum tsim kom muaj kev thaj yeeb nyab xeeb hauv tsev - tus me nyuam tsis tas yuav mloog dab tsi los yog koom nrog kev sib cav sib ceg, kev sib cav, kev tsis sib haum xeeb, vim qhov no tsuas ua rau qhov xwm txheej hnyav dua.
- Sim ua qhov chaw zoo rau tus menyuam so. Yog tias koj npog lub txaj nrog oilcloth, ces yuav tsum muaj ib daim ntawv tuab tab sis mos rau saum, uas yuav tsum tau kho kom zoo.nws tsis wrinkle los yog plam. Chav yuav tsum tau ventilated ua ntej mus pw. Nws yog ib qho tseem ceeb kom tswj tau qhov kub thiab txias. Yog hais tias thaum lub sij hawm pw tsaug zog tus me nyuam txias, ces qhov tshwm sim ntawm involuntary tso zis nce. Ntawm qhov tod tes, qhov cua sov hauv chav yuav ua rau tus menyuam nqhis dej.
- Zoo pom zoo kom tso lub teeb pom kev zoo hauv tus menyuam chav pw - yog li tus menyuam yuav xis nyob, qhov tsaus ntuj yuav tsis ntshai nws, thiab txoj kev mus rau chav dej yuav tsis txaus ntshai.
Enuresis hauv cov menyuam yaus: kev kho mob nrog pej xeem tshuaj
Cov niam txiv ua tau dab tsi ntxiv? Yuav ua li cas daws tau qhov teeb meem xws li enuresis hauv menyuam yaus? Kev kho mob nrog pej xeem tshuaj yog ua tau. Herbalists muaj ntau cov zaub mov muaj txiaj ntsig hauv lawv cov arsenal:
- Ntsuab dej qab zib muab cov txiaj ntsig zoo. Qhov no tau lees paub los ntawm ntau qhov kev tshuaj xyuas. Ib teaspoon ntawm zib mu (ntawm chav kawm, ntuj) yuav tsum tau yaj nyob rau hauv 100 ml ntawm boiled dej sov. Tus menyuam yuav tsum haus cov dej no 30-60 feeb ua ntej yuav mus pw. Cov tshuaj pab khaws cov kua hauv lub cev.
- Dill noob kuj pab daws qhov teeb meem, raws li pom los ntawm kev tshuaj xyuas ntawm ntau tus niam txiv. Kev npaj cov tshuaj yog yooj yim: koj yuav tsum ncuav ib tug loj diav ntawm qhuav dill noob nrog ib khob ntawm boiling dej thiab insist. Thaum sawv ntxov, lub resulting infusion yuav tsum tau muab rau tus me nyuam. Cov menyuam yaus hnub nyoog qis dua kaum xyoo haus ib nrab khob ib hnub. Qhov koob tshuaj rau cov menyuam yaus yog 200 ml. Yog tias tsim nyog, cov tshuaj tuaj yeem ua kom qab zib me ntsis.
Tam sim no koj paub tias enuresis yog dab tsi hauv cov menyuam yaus. Kev kho mob, tshuaj xyuas ntawm qee txoj hauv kev,Qhov ua rau ntawm cov tsos mob ntawm pathology yog cov ntaub ntawv tseem ceeb heev uas yuav tsum tsis txhob ignored. Tus kws kho mob tuaj koom yuav tuaj yeem kos cov kev kho mob kom raug tom qab kuaj xyuas tiav. Kev kho tshuaj, ua ke nrog txoj cai niaj hnub niaj hnub, kev coj tus cwj pwm zoo ntawm niam txiv, qee cov txheej txheem kev puas siab puas ntsws thiab qhov chaw nyob hauv tsev yuav pab daws qhov teeb meem.
