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Enuresis mua: wehewehe
Kapa mākou i ka enuresis involuntary mimi, e ulu pinepine ana i ka pō, i ka makahiki i manaʻo ʻia e loaʻa pono ka maʻemaʻe, ʻo ia hoʻi ma mua o 5 mau makahiki. ʻO ka enuresis mua aia i loko o kahi keiki i hiki ʻole ke hoʻomalu i kāna mau sphincters pūpū, ʻoiai lua o ka enuresis hiki mai ma hope o ʻeono mahina o ka hoʻomau ʻana i ka mimi, me ka ʻole o ka "bedwetting" type ulia; ʻo ia hoʻi i loko o kahi keiki e hoʻomaka hou e pulu i ka moena ma hope o ka loaʻa ʻana o ka maʻemaʻe.
He aha nā kumu o ka enuresis mua i nā keiki?
I kahi keiki enuretic, enuresis mua pili paha iā:
- hoʻopaneʻe ka oʻo ʻana o ka pūpū;
- nocturnal polyuria, ʻo ia hoʻi ka nui o ka mimi i ka pō ma muli o ka emi ʻana o ka hana ʻana o ka hormone anti-diuretic;
- ʻoi aku ka liʻiliʻi ma mua o ka awelika a i ʻole ka hana ʻana o ka pūpū;
- ʻoi aku ka kiʻekiʻe o "ka paepae ala" ʻoi aku ka paʻakikī o ke keiki e ala aʻe i ke aumoe, i ka wā e hiamoe nui ai, a ʻaʻole lawa ka pono e mimi e hoʻopau;
- he predisposition ʻohana a no laila he mau kumu genetic hereditary, me ka enuresis i nā poʻe piʻi i 30 a 60% o nā hihia.
E hoʻomanaʻo e hiki i kekahi mau kumu noʻonoʻo a ʻohana paha ke hoʻoulu, mālama a hoʻonui paha i ka enuresis.
ʻO ke ao a i ka pō paha?
ʻO ka moe moe maʻamau i ka pō, ʻo ka hoʻomoe ʻana i ke ao he ʻano o ka hoʻomau ʻole ʻana i ka mimi, me ka lele ʻana o ka mimi, a i ʻole nā maʻi maʻi mimi. KA'enuresis mua o kēlā me kēia lā he hōʻailona paha ia o kahi maʻi i lalo, e like me ka maʻi maʻi diabetes, a i ʻole e pili ana i ka lohi ʻana o ka ʻōpū. I ka wā ʻelua a me ka pō, pono e kūkākūkā ka enuresis mua e ʻike i ke kumu (s), a e mālama pono iā ia.
He aha ka ʻokoʻa ma waena o ka enuresis mua a me ka lua?
He mea mua ka hoʻomaʻemaʻe ʻana i ka moe inā ʻaʻole ma mua o ka maʻemaʻe, kahi manawa i maʻemaʻe ai ke keiki no ʻeono mahina.
Ke loaʻa ka enuresis ma hope o ka wā i maʻemaʻe ai ke keiki, ua kapa ʻia ʻo ia ka enuresis lua. Hoʻomaka maʻamau kēia ma waena o 5 a me 7 mau makahiki, akā hiki ke hana ʻia ma hope, ʻoi aku hoʻi i ka wā ʻōpio.
Nā lāʻau lapaʻau a me nā hoʻonā no ka enuresis mua
Ka mālama ʻana i ka enuresis ua hookumu mua ia ma ka hookumu ana o nā hana hoʻomaʻemaʻe-dietetic maʻalahi, e like me ka nānā ʻana i ka nui o kāu inu ʻana ma mua o ka moe, a me ka hoʻomaʻamaʻa ʻana i ka hele ʻana i ka lua ma mua o ka moe ʻana.
Nā hana hoʻonaʻauao, e like me ka mālama ʻana i kahi kalena hoʻokaʻawale, me nā pō "maloʻo" a me nā pō "mākū", hiki nō hoʻi ke kūpono i ka hoʻomoe ʻana. ʻO ka "stop pee", kahi ʻōnaehana hoʻāla e hoʻāla i ke keiki mai ka hāʻule mua o ka mimi i loko o kāna diaper, he mea hoʻopaʻapaʻa akā hiki ke hana.
Ma ka pae lāʻau, ʻo ka lāʻau lapaʻau nui i kuhikuhi ʻia ʻo desmopressin (Minirin®, Nocutil®), akā ʻaʻole ia he systematic.
ʻO wai ka loea e kūkākūkā ai?
I ka hoʻomaka ʻana, i mua o ka enuresis mua i nā keiki, e kūkākūkā ʻia kahi kauka lapaʻau a i ʻole pediatrician, nāna e ʻimi i ke kumu kūpono (s), a e hoʻoholo a ʻaʻole i ka hōʻoia o ka enuresis nocturnal mua e pili ana i nā maʻi hoʻoheheʻe o ka lā. a i ʻole enuresis i ke ao. No ka mea, ʻaʻole like ka hoʻokele inā he enuresis nocturnal prima (ENPI) i hoʻokaʻawale ʻia a i ʻole kahi enuresis nocturnal e pili ana me kahi ʻano diurnal. Hiki i ke kauka lapaʻau a i ʻole ka pediatrician ke mālama i ka enuresis mua inā ʻaʻole pili ia me kahi pathology paʻakikī a i ʻole nā kumu noʻonoʻo. A laila e kuhikuhi ka ʻoihana mālama ola i kahi hoa hana (urologist, pediatric surgeon, child psychiatrist, psychologist, etc.) inā makemake ka enuresis i kahi kikoʻī kikoʻī.
He hopena maikaʻi ka homeopathy?
He nui nā hōʻike e hōʻike ana ua hiki i ka homeopathy ke hoʻopau i ka enuresis mua. Eia nō naʻe, ʻaʻole i hōʻoia ka hopena o nā lāʻau lapaʻau e like me ka hypnosis, homeopathy, acupuncture a i ʻole chiropractic i ko lākou pono, ma ka liʻiliʻi e like me ka French Association of Urology. Nui nā haʻawina e pili ana i kēia kumuhana, akā manaʻo ka hui ʻaʻole koʻikoʻi loa i ka pae metodological. Akā ʻaʻohe mea e pale i ka hoʻāʻo ʻana, ʻoi aku ka like a i ʻole ka hihia o ka hana maʻamau.
Hiki i ka enuresis mua ke pili i nā mākua?
Ma kona wehewehe ʻana, ʻaʻole pili ka enuresis mua i nā pākeke. I loko o kahi kanaka makua, ʻoi aku ka manaʻo o ka mimi ʻole i ka pō i hiki ʻole ke manaʻo ʻia he enuresis lua. Eia kekahi, ʻaʻole mākou e kamaʻilio e pili ana i ka enuresis ke loaʻa ka mimi ʻole, ka paʻa ʻana o ka mimi, ka leaka ʻana o ka mimi a i ʻole ka polyuria i loko o ka pōʻaiapili o kahi pathology (ka maʻi maʻi maʻi). ʻAʻole i kapa ʻia ʻo enuresis mua ka hoʻopaneʻe ʻana o ka sphincter pūpū i ʻike ʻia i ka poʻe me ke kaʻa a i ʻole ka noʻonoʻo.
Nā kumu a me nā ʻike hou aku:
- https://www.urofrance.org/base-bibliographique/enuresie-nocturne-primaire-isolee-diagnostic-et-prise-en-charge-recommandations
- https://www.revmed.ch/RMS/2005/RMS-7/30196