Iimeko ziqhelekileyo - wonke umntu uvile, kodwa bambalwa kakhulu abantu abazi. Igama elithi "enuresis" ligama lesiGrike kwaye ngokuqinisekileyo lithetha "ukuvuthwa, ukuphosa." Njengempawu, ukungabikho kokuvuthwa kwe-urinary kunokwenzeka kwiintlobo ezahlukeneyo zentsholongwane. Kodwa, "ubusuku obushushu" buyisifo esizimeleyo esibonakaliswe ukuvuthwa ngokukhawuleza kubantwana abaneminyaka engama-4 nangaphezulu. Inyaniso kukuba ubuchule bokugcinwa kwe-urinary xa ugcwalisa isambatho sisungulwe ngokuchanekileyo ngeminyaka eyi-3-4.
Abasengozini kakhulu yi-enuresis yabantwana basenkulaneni (10%). Abafana baninzi ngaphezu kwamantombazana (12% kunye no-7%). Kwiziko eliprayimari, iziganeko eziqhelekileyo zokungahambisani ne-urinary yi-4.5% yabantwana, kwaye emva kweminyaka eyi-15 kuphela i-0.5%.
Ngoko, sele sele isuka kwintetho ngokwayo kucacile ukuba i-enuresis yabantwana ayixhomekekanga ngokungqinelana neenkqubo zokulala. Kubantu bakholelwa ukuba ukuba ulala kakhulu, awukwazi "ukuva" ukukhupha. Into ebizwa ngokuba yindlela elula ye-enuresis, ngokwenene, ihambelana nobuthongo obukhulu. UAvicenna wachaza oku. Kodwa nceda! Ukuba iimpawu ezisuka kwi-bladder azifikeli ukulala, kuba kutheni singagxuma phakathi phakathi nobusuku rhoqo size sisondele kwindlu yangasese? Kubonakala ukuba umbhede omanzi akayena "intloni kuyo yonke idolophana", kodwa nayo indlela yasendulo yokuzilawula, eyenziwa ngokuziphendukela kwemvelo. Ngokutsho kwedatha yanamhlanje, i-enuresis ijoliswe yendalo ukuba ishintshe izigaba zokulala.
Oomama abaninzi baqaphela ngokuphindaphindiweyo ukuba iintsana zabo zihamba ngaphambi kokuvuswa okanye emva koko. Oko kukuthi, ngomntwana, ukulala ngumbonakaliso wendalo wokuvusa, ngaphandle kwayo mhlawumbi ayengayi kuvuka! Njengoko ubuchopho bukhula kwaye i-physiology iphucula, imfuno yokuvuselela okunjalo iphela. Ngokwezibalo, kwi-half-year 87% yabantwana abasempilweni bayeke ukucima ebhedini emini. Ngonyaka ophezulu ngaphezu kwe-2/3 yabantwana balele ubomini bonke ubusuku okanye bangabonakali ngokuphindaphindiweyo, kungekho ngaphezu kweveki.
Ngaloo ndlela, i-enuresis yasebusuku ikhona kuze kubekho imfuneko yomzimba womntwana ukuhlawulela ukungakhangeki kwenkqubo ye-nervous. Kubukeka bukhohlakele xa abapapa noomama baqala ukuziqhayisa phambi kwezalamane, abahlobo kunye nabaqhelana nabo ngenxa yemfundo eyiyo abaneminyaka elilodwa nesmyshlynysh "abasayi kukhangela" kwisibhedlele. Enyanisweni, ukubonga ngokukhululeka kobomi bomntu, umntu akafanele abe yedwa, kodwa uqobo. Mhlawumbi i-biology, oko kukuthi, izinto zokuzala, nazo zichaphazela ukuhlukana kobulili kwi-intanethi yokungahambi. Ngokombono wam, iziganeko ezisezantsi ze-enuresis kumantombazana xa kuthelekiswa namakhwenkwe ngenxa yokuba iqela lomfazi likhula kwaye likhula ngokukhawuleza kunomzimba wesilisa. Ukungena ngokujulile kulo mbandela, umntu unokucinga ukuba kukho ubungqina obunzulu obufakwe kwisixhobo sobomi somntu.
Umntwana ngamnye uhamba e-crib ngendlela yakhe.
Ifom elula. Ibonakala ngokuqhubekayo, kodwa inqabile (amaxesha amabini ama-2 ngeveki) iziganeko zokulala emntwaneni ongekho ukuxhomekeka kwindleko yotywala. Ubuthongo buhlala bunzulu kakhulu - emva kokumisa, umntwana uyaqhubeka elele. Ukuchama ngokungaqhelekanga kwenzeka rhoqo kwiiyure eziyi-2-3 zokulala. Kwiimeko ezininzi, iingxaki zokuzalwa zibonakaliswa.
I-enurosis ye-Neuropathic ihlaselwa ngumxholo wobuthala obuntwaneni obunomntwana ngokunyuka okukhulu kunye nokudinwa kwenkqubo ye-nervous. Ubuninzi bokungabikho kweziqholo zixhomekeke kwisixa sokunxiliswa kwamanzi. I-neurological "microsymptomatics" iyimpawu. Ngokuqhelekileyo aba bana badibanisa imini nobusuku. Abantwana-i-neuropath bahlala besifo ngenxa yokubanda beselula. Ngokuchasene nesimo sawo naziphi na izifo ezithintekayo, izibongozo ezingenakuphikiswa kunye nokuvuthwa ngokukhawuleza akukhona nje kuphela ebusuku, kodwa nangomhla.
Ifom ye-neurotic iyenzeka kwaye iyenzeka kwenye yexesha elibuhlungu (3, 5, 7 iminyaka) njengendlela yokusabela kwiimeko ezinzima kunye / okanye ezixinzelelekileyo zengqondo. Njengomthetho, abantwana baye bavusa ingxaki, ukukhathazeka, ukulila, ukuphazamiseka kokulala, ukuphazamiseka ebusuku, i-tics, njl. Ngokwehla kwesifo se-psychotrauma, umngcipheko wokuziphatha wokuzibulala uya kwanda. Xa ubukhulu be "intsikelelo" emphefumlweni womntwana uncedisa, ubuninzi bobusuku obumanzi buhla.
Siza kunyanga okanye sivumele siphile?
Kwindlela yokwelapha, ubusuku nemini ukungabikho kubantwana kubonwa njengempembelelo yecala lokungagcini kwenkqubo ye-nervous. Ngako oko, oogqirha badla ngokucetyiswa ukuba balinde ade umntwana ngokwakhe "aphume" le ngxaki. Kodwa ukuba i-enuresis iyenzeka kaninzi, okanye umntwana kunye nabazali bakhe basabela kwiimeko zokungaziphathi ngokugqithisileyo, baqala unyango, okujoliswe ngokukodwa ekusetyenzisweni komsebenzi wesistim neentabolism.
Okokuqala, kufuneka ulungele ukutya nokuphila kwakho. Ubisi kunye nokutya okunomsoco kukhethwa, kunye neeninzi zeziqhamo kunye nexabiso elincinci lotywala kunye netyuwa. Emva kwe-18 ukuya kweye-19 ntambama, iziphuzo ziphela ngaphandle, ingakumbi itiye kunye nekhofi. Izifundo eziqhelekileyo zokufunda, ukuhlwa kusihamba ngaphambi kokuba ixesha lokulala lilungele impilo jikelele. Ukuba umntwana unenkcitho encinane yokuchitha phambi kweTV kunye nekhompyutha, kuya kunceda.
Kubaluleke kakhulu kukuphuculwa kwe-microclimate yengqondo kwintsapho. Umntwana akufanele abe ngubufakazi "bokulwa" phakathi kwabazali. Utata nonina kufuneka babe ngumzekelo omhle, babonise uthando lwabo, bazinikele ixesha elixabisekileyo kwaye babe nesineke.
Ukususela kwiziyobisi ukwenzela unyango lomntwana onomdla wokusetyenziswa kwamanzi. "Ukwethuka", utshani obune-anti-pressure (iSt. John's wort) kunye nesenzo sokuthoba (i-valerian, motherwort, cudweed) iya kusebenza. Impembelelo enempilo ngokubanzi isongezelelo sesondlo sokutya: i-ingqungquthela yengqolowa, i-malt kunye nemifuno ye-vitamin complexes nge-rosehip, ebomvu ne-black chokeberry. Kwezityalo, umphumo ongazange uqinisekiswe yenzululwazi, kodwa sele isetyenziselwa iikholeji kubantu ukuba unyango lwe-enuresis, ukukhankanywa kufuneka kwenziwe ngama-blackberries, ama-raspberries, i-cranberries, i-blueberry, i-dill, i-croquets kunye negolide.
Ngamanye amaxesha kusetyenziswa izidakamizwa ze-pharmology: i-anti-depressants amitriptyline kunye ne-imipramine. Kwimeko yeengxaki zengqondo, i-psychotherapy yentsapho iboniswa, eqhutyelwa kungekhona kuphela kumntwana, kodwa kunye nabantu abadala.