Enuresis. Nws yog dab tsi? Urologists thiab nephrologists ntseeg hais tias qhov no yog involuntary tso zis thaum hmo ntuj, thiab lo lus "hnub so enuresis" tsis yog tag nrho. Lo lus nws tus kheej txhais tau tias " tso zis" hauv Greek. ICD-10 txhais enuresis raws li: involuntary persistent nruab hnub nrig thiab/los yog hmo ntuj tso zis tawm ntawm hnub nyoog.
Enuresis - kab mob uas tshwm sim nws tus kheej hauv npau suav. Qhov no dhau los ua teeb meem thaum tus menyuam muaj hnub nyoog 5 xyoos, thiab tseem ceeb heev uas txawm tias International Children's Continence Society (ICCS) tau tsim.
Dab tsi yog enuresis raws li ICCS txhais? Qhov no yog lub sijhawm tsis tsim nyog thiab qhov chaw tso zis rau tus menyuam tom qab 5 xyoos. Hauv lwm lo lus, enuresis yog qhov tshwm sim nocturnal. Tab sis lub hnub nyoog ntawm 5 xyoo yog nyob rau hauv lub sij hawm, vim hais tias kev loj hlob ntawm ib tug me nyuam yog ib txwm ib tug neeg thiab muaj peev xwm sib txawv raws li thaum ntxov raws li 3-6 xyoo. Yog li ntawd, nws yog qhov tseeb rau kev kuaj mob enuresis hauv tus menyuam thaum nws tus kheej pib nkag siab txog qhov tsis txaus ntseeg ntawm qhov tso zis tsis tuaj yeem, qhia kev txhawj xeeb txog qhov no thiab txaus siab rau kev tshem tawm cov ntu no.
Dab tsienuresis yog dab tsi, thiab dab tsi yog nws qhov tseem ceeb? Pathology yog ib qho tseem ceeb tsis tau tsuas yog nyob rau hauv cov nqe lus ntawm kev kho mob, tab sis kuj nyob rau hauv kev sib raug zoo thiab puas siab puas ntsws yam: cov me nyuam no feem ntau ntsib intolerance los ntawm cov neeg laus thiab cov phooj ywg, txhua yam ntawm kev thuam thuam. Feem ntau lawv thim rov qab rau hauv lawv tus kheej vim hais tias muaj kev puas siab puas ntsws tsis xis nyob thiab teeb meem hauv kev sib raug zoo. 94.5% ntawm enuretics yog menyuam yaus; 4.5% yog cov hluas thiab tsuas yog 1% yog cov laus. Feem ntau, enuresis cuam tshuam ib nrab ib feem pua ntawm cov neeg hauv ntiaj teb. Hauv cov menyuam yaus, qhov tshwm sim no tshwm sim 2 zaug ntau dua, thiab tib qho kev xav tseem nyob hauv cov neeg laus.
Txhob Cia Siab
Dab tsi yog enuresis hauv tus neeg laus? Cov ua rau yog degenerative hloov nyob rau hauv lub genitourinary system, hlwb, anomalies ntawm lub urethra los yog lub zais zis nws tus kheej, urolithiasis. Tab sis tsis yog tag nrho. Qhov ua rau enuresis nyob rau hauv cov poj niam laus yog extinction ntawm estrogen ntau lawm nyob rau hauv menopause nrog degenerative hloov nyob rau hauv cov nqaij ntshiv ntawm lub me me pelvis. Tsis tshua muaj tshwm sim: nws cov tsos mob nrog pw tsaug zog apnea, tshwj xeeb tshaj yog nyob rau hauv cov neeg rog rog, txhua yam mob ntshav qab zib, thyroid kab mob, noj tej yam tshuaj tsaug zog pw tsaug zog.
Yog vim li cas txiv neej
Nyob rau hauv cov neeg laus, cov ua rau enuresis thiab kev kho mob yog: lub postoperative mob ntawm prostate, nrog rau cov hnub nyoog hormonal hloov nyob rau hauv lub cev, thaum lub pelvic nqaij tsis muaj zog. Nws cuam tshuam rau kev loj hlob ntawm pathology thiab Parkinson tus kab mob, nrog rau MS (remitting CNS kab mob), kev nyuaj siab, cawv.
Kev mob ntawm tus menyuam
Cov me nyuam enuresis tuaj yeem tshwm sim los ntawm:
- Imaturity ntawm CNS thiab kev tswj cov zis. Lub voj voog lom neeg rau kev sib kis ntawm cov hlab ntsha ntawm lub cev mus rau qhov khoob tseem tsis tau tsim.
- Psychosomatics ntawm enuresis - kev puas siab puas ntsws muaj xws li kev puas siab puas ntsws, ntxhov siab, ntshai, pw tsaug zog cuam tshuam thaum muaj hnub nyoog 3 thiab 7 xyoo) tawm tsam keeb kwm ntawm asthenia, kev loj hlob hnyav heev, mob neuropsychiatric. Tsis tas li ntawd, qhov ua rau yog qhov tsis txaus siab tsis txaus siab hyperactivity tsis meej, tics, hysterical tshua.
- Ua rau menyuam yaus enuresis - ncua kev puas siab puas ntsws thiab kev loj hlob ntawm lub paj hlwb: cerebral palsy, anomalies nyob rau hauv kev loj hlob ntawm lub paj hlwb, pathology ntawm chromosome theem, organic pathology uas tsim tom qab raug mob thiab kis kab mob, intoxications. Nyob rau hauv cov menyuam yaus, kev txawj psychomotor feem ntau raug kev txom nyem, lawv pib taug kev thiab tham tom qab lawv cov phooj ywg.
- Psychosocial yam: cov menyuam los ntawm cov tsev neeg tau nyiaj tsawg, hauv tsev kawm ntawv nce qib, nrog niam txiv haus cawv, thiab lwm yam. Nws tau pom tias cov menyuam yaus no feem ntau muaj cov tshuaj vasopressin ntau ntxiv, uas ua rau cov zis ntau ntxiv.
- Hereditary nra, tshwj xeeb tshaj yog nyob rau hauv txiv neej kab. Yog tias ib tus niam txiv raug kev txom nyem, qhov kev pheej hmoo ntawm enuresis nce 3 zaug, yog tias ob leeg - los ntawm 5 zaug.
- Impaired zus tau tej cov tshuaj antidiuretic hormone (ADH). Yog tias tsis txaus thaum hmo ntuj, qhov ntim ntawm cov zis nce ntau heev.
- Congenital thiab kis tau qhov tsis zoo ntawm cov kab mob genitourinary: nqaim ntawm cov urethra lossis foreskin ntawm cov txiv neej, lub zais zis tsis txaus, thiab lwm yam.
- Kidney infections.
- Enuresis tuaj yeem tshwm sim ntawm kev qaug dab peg, vim qhov no nws suav nrogepileptic qauv.
Kev faib tawm
Enuresis muab faib ua thawj thiab theem nrab. Hauv thawj kis, tsis muaj qhov hu ua hmo qhuav. Pathology tshwm sim ntawm nws tus kheej thiab qhia tawm thaum tsis muaj lub suab ceeb toom kom zais zais zis.
Secondary enuresis yog qhov tshwm sim ntawm cov kab mob hauv lub cev thiab kis tau. Nws yog ua ntej los ntawm ib txwm tso zis, thaum hmo ntuj qhuav rau ntau tshaj rau lub hlis, tus me nyuam twb sawv ntawm nws tus kheej mus rau chav dej. Kuj tseem muaj qhov sib xyaw ua ke - kev sib xyaw ua ke ntawm kev ua tsis tiav thiab qhov ua rau muaj kev cuam tshuam.
Enuresis tseem muab faib ua ke thiab cais, mono- thiab polysymptomatic. Tsuas yog nocturnal enuresis hu ua isolated enuresis. Thaum ua ke - ob qho tib si hmo ntuj thiab nruab hnub. Monosymptomatic enuresis - tsis muaj lwm yam comorbidities.
Kev siv: cov tub ntxhais hluas uas muaj enuresis tsis raug lees txais rau hauv tub rog.
Cov tsos mob tseem ceeb
Cov tsos mob ntawm enuresis tau tshwm sim hauv kev pw tsaug zog tsis zoo (kev pw tsaug zog sab saum toj, tob heev, tsaug zog zoo, thiab lwm yam), ncua kev loj hlob ntawm lub cev thiab lub hlwb, lub sijhawm nocturnal ntawm urinary incontinence, nervousness thiab nce excitability ntawm tus me nyuam, shyness. Cov ntu yuav tsis tshua muaj tab sis tsis tu ncua, nrog ntau zaus.
Ntau zaus qhov no yog ib nrab rau thawj ib nrab ntawm hmo ntuj, nyob rau theem ntawm kev pw tsaug zog. Tib lub sijhawm, tus menyuam ntub dej tsis sawv.
Qee tus menyuam yaus uas muaj enuresis muaj cem quav lossis quav quav, tsis muaj kev xav, muaj kev ntxhov siab thiab rhiab heev, tshem tawm, hais lus tsis meej,tics, ntshai.
Kev kho mob ntawm enuresis hauv menyuam yaus thiab cov neeg laus
Kev kho mob ntawm pathology yog txiav txim siab los ntawm qhov ua rau. Nws tau muab faib ua tshuaj thiab tsis yog tshuaj. Qhov no suav nrog kev tswj hwm, kev kho mob hlwb, txoj kev kho lub cev, thiab lwm yam. Tab sis txhua hom kev kho tsis suav nrog kev kho tus kheej.
kev kho mob
Yuav ua li cas kho nocturnal enuresis los ntawm kws kho mob hlwb? Txoj kev mus kom ze tsuas yog tus kheej thiab complex. Xws li:
- Txhim kho lossis kev loj hlob ntawm kev tsaug zog thaum tso zis - hauv cov menyuam yaus nws tshwm sim nrog cov zis ntawm 100 ml.
- Txhawb cov metabolism hauv CNS rau kev loj hlob ntawm txhua theem ntawm cov kab mob lom uas tswj cov zis.
- Nyob rau hauv cov ntaub ntawv ntawm neurosis - nws kho (tam sim ntawm tranquilizers, piv txwv li, "Atarax").
Hauv lwm qhov xwm txheej, nootropics, tshuaj zoo tshaj plaws rau enuresis, tau txais kev siv ntau tshaj. Yam lawv muab:
- txhawb cov txheej txheem metabolic thiab txhim kho cerebral ntshav khiav;
- nce qabzib siv thiab microcirculation;
- yog neuroprotective rau hlwb puas;
- nyob rau hauv cov ntaub ntawv ntawm hypoxia thiab intoxication, lawv txhim kho cov kev ua ub no ntawm lub hlwb;
- muaj cov tshuaj tiv thaiv kab mob thiab cov tshuaj tiv thaiv antioxidant;
- txo cov suab nrov ntawm lub paj hlwb;
- txo qis kev ntxhov siab, ntxhov siab, ntshai;
- nce efficiency;
- txhim kho kev nco thiab mloog;
- txo qis vasovegetative manifestations nyob rau hauv daim ntawv ntawm mob taub hau, chim siab, kev xav lability.
Tib lub sijhawm, lawv muaj tshuaj lom tsawg.
Cov nootropics nrov tshaj plaws yog hopantenic acid thiab nws cov derivatives ("Pantogam", "Pantocalcin", "Gopantam"), "Glycine", "Piracetam", "Phenibut", "Pikamilon", "Nootropil", " Encephabol", "Pyritinol". Cov tshuaj tsawg dua yog "Semax", "Instenon", "Gliatilin", "Cortexin", "Cerebrolysin", "Actovegin", "Cogitum", "Aminalon". Lawv raug coj mus kawm txog rau lub hlis raws li kws kho mob qhia. Nws tuaj yeem ua ke nrog cov vitamins thiab sedatives. Tab sis polypharmacy tsis txais tos, ntau cov tshuaj tsis zoo ib txwm.
Yog tias lub zais zis tsis txaus yog qhov ua rau, tshuaj antispasmodics thiab anticholinergics. Cov npe nrov tshaj plaws thiab feem ntau tau sau tseg vim nws cov txiaj ntsig yog Driptan (oxybutynin hydrochloride). "Driptan" yog tshuaj rau enuresis ntawm ib tug antispasmodic xwm. Noj nws yuav so lub zais zis los ntawm relieving detrusor spasm. Qhov no tsub kom nws ntim, uas nyob rau hauv lem txo tus naj npawb ntawm contractions ntawm lub cev nqaij daim tawv thiab tiv thaiv lub zais zis los ntawm lub zais zis uncontrollably. Cov zis khaws cia rau hauv lub zais zis ntev dua. Cov tshuaj muaj ntau yam analogues, nto moo tshaj plaws yog Spazmeks. Zoo rau cov hluas. Txhim kho nws cov nyhuv thaum ua ke nrog amitriptyline thiab anticholinergic tshuaj. Pab nrog enuresis thiab ADH. Nws twb tau muab sau tseg tias ADH normalizes cov atherosclerosis ntawm cov zis ntau lawm, txo nws cov ntau heev tsim thaum hmo ntuj.
"Minirin" - hluavtawsanalogue ntawm vasopressin. Siv rau cov menyuam yaus hnub nyoog qis dua 6 xyoo, ntshav qab zib insipidus, nocturia, thiab lwm yam.
"Adiuretin" los ntawm tib pab pawg. Muaj nyob rau hauv cov ntsiav tshuaj thiab qhov ntswg dauv.
"Imipramine" tsuas yog siv tau rau ib nrab ntawm cov xwm txheej, thiab nws qhov tshwm sim tsis ruaj khov, feem ntau ua rau rov ua dua. Nws yog ib qho antidepressant. Txaus ntshai rau nws cov teebmeem cardiotoxic. Niaj hnub no nws tsis siv.
Phytotherapy
Kev kho mob hauv tebchaws hauv tebchaws rau cov menyuam yaus tsis tau txais tos los ntawm txhua tus, txawm hais tias nws muaj thoob plaws. Cov neeg tawm tsam ntawm nws ntseeg tias kev ua haujlwm ntawm pej xeem cov tshuaj tsis tau raug pov thawj hauv kev kho mob, thiab tsis muaj ntaub ntawv hais txog nws txoj kev nyab xeeb. Tshuaj ntsuab raug xaiv empirically, thiab nws yog ib tug yuam kev rau ntseeg nyob rau hauv cov txiaj ntsig ntawm xws li ib tug natural kho. Tab sis, txawm li cas los xij, nrog kev tso cai los ntawm kws kho mob, tshuaj ntsuab xws li chicory, strawberry paj, tshuaj tsw qab violet, txiv qaub balm, peppermint, centaury, knotweed, birch nplooj, chamomile, burdock, couch nyom cag tuaj yeem siv rau enuresis.
Physiotherapy
Hauv kev kho lub cev, tus kws kho mob siv rau qhov ua rau enuresis thiab hom zais zis ua haujlwm. Lawv tuaj yeem yog hypo- thiab hypertonic. Daim ntawv tom kawg yog ntau dua thiab siv cov txheej txheem antispasmodic los so lub spasmodic detrusor:
- Electrophoresis ntawm anticholinergics ("Atropine", "Platifillin", "Eufillin", thiab lwm yam), antispasmodics, paraffin therapy nyob rau hauv daim ntawv ntawm daim ntawv thov nyob rau hauv qis rov qab los yog zais zis cheeb tsam, paravertebral ultrasound ntawm lub cheeb tsam. 2 thiab 3 lumbar vertebrae. Lawv restore qhov qub conduction ntawm signals raudetrusor.
- Hauv hyporeflex neurogenic dysfunction, nrog hypotension ntawm tus detrusor, nws stimulation (myostimulators) zoo. Cov no suav nrog diadynamic tam sim no (DDT), SMT txoj kev kho (sinus modulated tam sim no), electrophoresis ntawm cholinomimetics (nrog "Prozerin", "Galantamine") ntawm lub zais zis cheeb tsam.
- IRT, segmental massage ntawm sab nraub qaum, ob txhais ceg thiab cov leeg - qhov no txhawb nqa lawv txoj haujlwm. Tag nrho cov no tuaj yeem siv rau hauv kev kho mob ntawm enuresis. Ntawm cov txheej txheem sedative rau cov kab mob neurotic, electrophoresis nrog sedatives, electrosleep, thiab galvanic dab tshos raws li Shcherbak tau siv dav.
- Balneotherapy - coniferous ntsev, valerian, oxygen, hlaws da dej ntawm qhov kub ntawm 35-37 ° C.
- Mud therapy (peloid therapy) hauv daim ntawv thov.
Txoj cai ntsuas - cov lus teb rau lo lus nug ntawm yuav ua li cas kho enuresis hauv tsev. Nov yog tag nrho cov cai uas cov niam txiv ntawm cov menyuam yaus yuav tsum siv:
- txoj kev nyuaj thiab tiaj tus;
- thaum tus menyuam tsaug zog ntau zaus, nws yuav tsum tau tig ob peb zaug thaum hmo ntuj mus rau sab nraud;
- tshem tawm hypothermia thiab cov cua ntsawj ntshab hauv chav pw;
- cua tshuab hauv chav ua ntej yuav mus pw;
- ua ntej yuav mus pw, tus menyuam yuav tsum mus rau chav dej;
- tsaug kom tsim tau qhov tso zis 1-2 zaug thaum hmo ntuj kom tsaug zog;
- hmo ntuj yuav tsum ci hauv chav pw kom tus menyuam tsis ntshai qhov tsaus ntuj.
Qhia rau cov niam txiv uas muaj enuresis hauv tus menyuam
Cov niam txiv yuav tsum ua li cas:
- Cov huab cua hauv tsev neeg yuav tsum nyob twj ywm rau qhov siab tshaj plaws,tshwj xeeb tshaj yog thaum yav tsaus ntuj. Txhua qhov kev ua si zoo siab thiab ua kom muaj zog, TV qhia, khoos phis tawj raug cais tawm.
- Koj cem tsis tau thiab rau txim rau tus me nyuam pissed, nws yuav ua tsis tau dab tsi tsuas yog complexes.
- Thov nco ntsoov tias daim ntaub roj uas muab tso rau hauv qab tus me nyuam yog tag nrho nrog ib daim ntawv. Lub chav pw yuav tsum sov, tab sis tsis muaj stuffiness. Zam cov ntawv sau. Nws yog qhov zoo dua los qhia tus menyuam pw tsaug zog, thiab ko taw kawg ntawm lub txaj tuaj yeem tsa me ntsis kom txwv tso zis.
- Mus pw tib lub sijhawm tseem ceeb.
- Noj thiab haus zoo dua 3 teev ua ntej yuav mus pw. Nyob rau tib lub sijhawm, cov khoom lag luam uas muaj cov nyhuv diuretic tsis suav nrog (cov mis nyuj, tshuaj yej muaj zog, kas fes; cov txiv hmab txiv ntoo muaj kua - txiv tsawb, melon, txiv apples, strawberries). Rau noj hmo - boiled qe dawb, stewed ntses los yog nqaij, qaug zog, me ntsis sweetened tshuaj yej. Qee cov neeg laus ntawm Krasnogorsky noj zaub mov noj ib yam dab tsi qab ntsev thaum hmo ntuj kom sawv thaum hmo ntuj (ib daim ntawm ntsev, qhob cij nrog ntsev, cheese). Nws yog qhov zoo dua rau tus menyuam tsis txhob siv qhov no.
Kuv puas yuav tsum tsa kuv tus menyuam thaum hmo ntuj kom zais kuv lub zais zis?
Tus me nyuam yuav tsum sawv thaum hmo ntuj, thiab nws yuav tsum paub txog nws kom tsis txhob muaj qhov tsis zoo. Qee cov niam txiv muab lawv tus menyuam tsaug zog rau ntawm lub lauj kaub, tab sis tom qab ntawd qhov kev xav tsis tau tsim. Tus me nyuam yuav tsum tsis yog tsuas yog sawv xwb, tab sis kuj mus rau lub lauj kaub los yog chav dej nws tus kheej thiab rov qab los rau nws tus kheej. Tawm ntawm kev khuv leej, nqa tus menyuam tsaug zog mus rau hauv chav dej thiab rov qab yog qhov tsis muaj txiaj ntsig. Yuav tsis muaj qhov cuam tshuam, thiab thaum sawv ntxov tus menyuam yuav tsis nco qab tias nws tau hnav khaub ncaws thaum hmo ntuj. Yog tus me nyuam twb pissed, nco ntsoov tsa nws sawv thiab hloov khaub ncaws.
rauCov menyuam kawm ntawv siv "seem teem sij hawm sawv":
- thawj lub lim tiam tus me nyuam yuav sawv txhua teev tom qab pw tsaug zog.
- Nyob rau hnub tom qab no, lub sijhawm pw tsaug zog tau maj mam nce (tsim sawv tom qab 2 teev, tom qab 3 teev, tom qab ntawd tsuas yog ib hmos xwb).
- Kev kho mob no kav ib hlis. Yog tias tsim nyog, rov ua cov chav kawm.
Cov menyuam yaus ua rau muaj kev ntxhov siab, lawv tsis tau pw txaus thiab tsaug zog thaum kawm. Yog li ntawd, nws yog qhov zoo dua los ua qhov kev kho mob thaum hnub so.
Tswb txoj kev kho tau ntev yog ib txoj hauv kev kom tsaug zog. Qhov no yog kev siv lub tswb moos enuresis. Tsis muaj kev phiv. Kev ua tau zoo yog 80%, thiab tsuas yog 30% ntawm cov menyuam yaus tau rov qab los. Lub tswb ceeb toom cuam tshuam kev pw tsaug zog sai li sai tau thaum thawj cov zis tshwm sim. Muaj ib lub sensor nyob rau hauv lub luv uas muab lub tswb ceeb toom. Tom qab ntawd tus menyuam tuaj yeem sawv thiab khiav mus rau chav dej tam sim ntawd. Nws tua lub tswb moos. Tus kheej-awakening reflex yuav maj mam tsim nrog lub npuas puv.
Kev ua tau zoo hauv cov menyuam yaus - 90%, cov laus - 50%. Zoo li cov ntawv tshwj xeeb, cov ntaub pua chaw pw, cov neeg laus cov ntaub so ntswg, lub tswb moos. Koj tuaj yeem yuav lawv ntawm qhov chaw tshwj xeeb. Qhov no ua rau lub neej xis nyob thiab tus neeg mob tsis xav tias qis dua. Nws tuaj yeem mus xyuas nrog pw hmo ntuj, mus pw hav zoov, thiab lwm yam.
Metod - zais zis kev cob qhia
Pab me ntsis. Yog tus me nyuam xav tso zis, nws raug caw kom tos ib pliag, ces mus. Maj mam lub zais zis tsheb ciav hlau.
Psychotherapy
Kev puas siab puas ntsws rau neuroticCov teeb meem yog ua los ntawm cov me nyuam psychotherapists. Siv cov tswv yim qhia thiab kho tus cwj pwm. Txij thaum muaj hnub nyoog 10 xyoo, kev siv cov lus pom zoo muaj txiaj ntsig. Tus me nyuam, ua ntej yuav mus pw, rau 10 feeb, rov hais dua cov "formulas" ntawm nws tus kheej-awakening ob peb zaug thaum xav tso zis nyob rau hauv daim ntawv ntawm tag nrho cov kab mob lom. Nws hais tias: “Kuv ib txwm xav sawv hauv txaj qhuav. Thaum kuv tsaug zog, cov zis kaw nruj nreem rau hauv kuv lub zais zis. Thaum kuv xav tias sau ntawv, kuv yuav sawv ntawm kuv tus kheej."
Kev Kho Tsev Neeg
Cov niam txiv yuav tsum ua siab ntev thiab ua raws li txoj cai:
- Me nyuam yuav tsum tsis txhob txaj muag lossis rau txim.
- Nws txoj kev niaj hnub yuav tsum muaj kev xav.
- Cov menyuam yaus yuav tsum zam kev txhawj xeeb, qhov zoo lossis qhov tsis zoo.
- Nws tsis tuaj yeem saib cov yeeb yaj kiab txaus ntshai, khiav thiab ua si nrov ua ntej pw.
- Koj yuav tsum tsa tus menyuam kom rov zoo thiab txhawb nws kom ntseeg nws lub zog.
Kev mob siab rau kev kho mob
Nws zoo heev (80%), tab sis siv tau tom qab hnub nyoog 6-7 xyoo hauv cov menyuam mos uas muaj kev txawj ntse. Cov niam txiv qhia txog kev muab nqi zog rau tus menyuam rau hmo "qhuav" hauv cov khoom ua si thiab khoom plig. Qhov no yog ua raws li qhov xav tau ntawm tus menyuam. Nyob rau hauv tas li ntawd, tus me nyuam muaj peev xwm khaws nws cov zis tso zis, qhov chaw uas nws depicts tsaus ntuj raws li lub hnub, thiab enuresis raws li los nag.
Nws yog ib qho tseem ceeb rau instill rau tus me nyuam txoj kev txawj ua nws tus kheej txaj thiab hloov ris tsho hauv qab tom qab nws tau peed. Qhov no tsim ib qho kev xav rau kev nplij siab ntawm lub txaj qhuav. Qhov kev sib raug zoo tsis zoo hauv qhov no yog thim rov qab. Tus me nyuam simzam enuresis.
How to potty train a child
Qhov no tuaj yeem xyaum tom qab 6 lub hlis, thaum tus menyuam twb kawm zaum. Ua ntej, nws nyob twj ywm ntawm lub lauj kaub rau 1-5 feeb, thiab tib lub sijhawm nws yuav tsum tau txhawb nqa nrog cov lus hais "pee-pee" thiab "ah-ah" txhawm rau txhim kho lub cev muaj zog. Thiab tom qab ntawd cov me nyuam lawv tus kheej hais cov suab no, thov rau lub lauj kaub. Thaum tus menyuam muaj kev nyab xeeb, nco ntsoov qhuas nws. Cov menyuam yaus hnub nyoog qis dua 2 xyoos tsis tuaj yeem thuam rau cov ris tsho ntub dej. Txawm yog cov me nyuam loj xwb yuav tsum maj mam hais kom zoo dua thov ib lub lauj kaub.
Enuresis tiv thaiv
ntsuas kev tiv thaiv:
- tsis txhob siv cov pawm tom qab 2 xyoos;
- kom ua rau koj tus menyuam tus cwj pwm hnav yav tsaus ntuj;
- tsis txhob haus ntau ua ntej pw;
- kho cov kab mob urinary kom raws sijhawm.
Yog li, yuav ua li cas nrog enuresis rau niam txiv ntawm tus menyuam? Nws yog ib qho tseem ceeb kom ua tiav qhov kev xav ntawm kev xav, qhib qhov kev loj hlob ntawm kev tso zis tso zis siv nootropics thiab lwm yam tshuaj, thiab kho cov tsos mob neurotic nrog kev puas siab puas ntsws.
Cov lus qhia txog kev kho mob enuresis yog raws li hauv qab no: cov menyuam yaus tau txais txiaj ntsig zoo los ntawm "Pikamilon", ib daim ntawv nrog lub roj teeb, kev kho mob hlwb thiab homeopathy, hypnosis, kev qhia zais zis. Qee cov niam txiv qhia tias tsis muaj dab tsi ua haujlwm txog thaum lawv tsiv tawm, mus txog rau cov hluas, thiab tom qab ntawd nws tau ploj mus yam tsis muaj kev kho mob. Ntawm cov neeg laus, cov kev tshuaj xyuas zoo tau txais thaum teem caij"Ovestin", "Pikamilona", "Minirina", "Driptana".
