Enuresis yog tus cwj pwm los ntawm kev tso zis tsis txaus, feem ntau tshwm sim thaum hmo ntuj, hauv cov menyuam yaus uas twb muaj peev xwm tswj tau lawv lub zais zis ua haujlwm. Ntau cov kev tshawb fawb qhia tias enuresis tsis yog kab mob, tab sis ib hom kev hloov pauv theem ntawm qhov tsis tuaj thiab kev tswj hwm ntawm cov txheej txheem physiological.
Cov kws tshaj lij tsis tuaj yeem txiav txim siab lub hnub nyoog txwv kom tsis txhob tso zis, uas suav tias yog ib txwm muaj rau menyuam yaus, thiab cov kab mob enuresis. Nws ntseeg tau tias yog tias tus menyuam tseem tsis tuaj yeem tswj cov zis thaum muaj hnub nyoog tsib xyoos, nws ua rau kev txiav txim siab muab enuresis qhov tseem ceeb hauv kev kho mob thiab suav tias yog kab mob uas yuav tsum tau saib xyuas ntawm kws kho mob. Qhov teeb meem no yog ib txwm muaj rau 15-20% ntawm cov me nyuam muaj tsib xyoos thiab 7-12% ntawm cov me nyuam muaj rau xyoo. Muaj tsawg zaus, tso zis tsis tuaj yeem tshwm sim hauv cov menyuam yaus hnub nyoog qis dua 12 xyoos, hauvtsawg heev - hauv cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo. Nyob rau tib lub sijhawm, enuresis hauv cov tub hluas tsim 1.5-2 zaug ntau dua li cov ntxhais. Cov neeg uas muaj teeb meem zoo li no thaum yau yuav ntsib nws ib ntus thaum neeg laus.
Enuresis hauv cov tub thiab cov ntxhais: cov laj thawj tseem ceeb
- Raws li txhua tus paub, hauv cov menyuam mos, kev cai tso zis yog ua los ntawm qhov chaw txha caj qaum, yog li nws tshwm sim tsis tau. Thaum muaj hnub nyoog ob mus rau tsib xyoos, tus me nyuam tsim cov chaw tso zis nyob rau hauv lub hlwb, uas pib cuam tshuam nrog qhov chaw ntawm tus txha caj qaum, vim li ntawd, cov txheej txheem tso zis maj mam tswj tau tag nrho. Thaum tsis muaj kev sib cuam tshuam ntawm cov chaw, lub suab ntawm lub zais zis cuam tshuam thiab enuresis (thawj) tsim.
- Qee cov kab mob urological thiab kis tau tuaj yeem ua rau muaj qhov tso zis ntev, thiab enuresis tuaj yeem tsim tawm tsam nws keeb kwm yav dhau. Yog li, enuresis nyob rau hauv cov tub tej zaum yuav tshwm sim ntawm balanoposthitis, thiab nyob rau hauv cov ntxhais - vulvovaginitis.
- Yog tias ib tus niam txiv muaj qhov teeb meem zoo li no, qhov tshwm sim ntawm qhov tshwm sim ntawm tus menyuam nce. Cov kev tshawb fawb tau lees paub qhov tseeb tias enuresis tuaj yeem tshwm sim vim muaj kev cuam tshuam los ntawm keeb kwm. Enuresis hauv cov menyuam yaus tshwm sim ntau zaus, suav nrog vim qhov tseeb tias cov yam ntxwv ntawm caj ces muaj feem cuam tshuam rau lawv ntau dua li cov ntxhais.
- Kev puas siab puas ntsws tuaj yeem ua rau enuresis (secondary). Hauv qhov no, nws tshwm sim los ntawm qee qhov kev ntxhov siab cuam tshuam rau tus menyuam, piv txwv li,tsiv, niam txiv sib nrauj.
- Enuresis hauv cov tub thiab ntxhais kuj tuaj yeem tshwm sim vim pw tsaug zog zoo. Qee tus menyuam yaus pw tsaug zog zoo li lawv tsis sawv txawm tias yuav tsum tso zis.
Enuresis kho
Nocturnal enuresis hauv cov tub yog kho tib yam li cov ntxhais. Cov menyuam yaus tau txais kev noj haus tshwj xeeb uas tsis suav nrog kev haus dej tom qab ob teev ua ntej yuav mus pw. Feem ntau qhov teeb meem yog tshwm sim los ntawm malfunctions nyob rau hauv lub tso tawm ntawm vasopressin (ib yam tshuaj hormones), nyob rau hauv cov ntaub ntawv no cov me nyuam yuav tsum tau noj nws cov synthetic analogue, desmopressin, kho enuresis (nyob rau hauv cov tub hluas, kev kho mob tej zaum yuav ntev). Yog tias neurotic enuresis tshwm sim, kev kho puas siab puas ntsws yog qhov tsim nyog nrog kev pab ntawm cov tshuaj vitamin thiab kev siv tshuaj uas tuaj yeem txhim kho cov txheej txheem metabolic hauv lub hlwb. Kev kho mob yuav tsum muaj xws li physiotherapy, nrog rau tshwj xeeb gymnastics thiab massage. Cov niam txiv yuav tsum tsis txhob hnov qab tias kev kho mob ntawm enuresis yog txheej txheem ntev, yog li tsis txhob cia siab tias yuav tau txais txiaj ntsig los ntawm kev kho. Ua siab ntev thiab tsis txhob tso siab rau tus menyuam, txwv tsis pub txoj kev kho mob yuav nyuaj dua.
