In my grandson is problem in enuresis, lied at hospital, checked, cured, age is 18 y.old, and doctors shared, that later this is leaving his. Lied in urologic hospital, nothing found, and how a life with this problem?
Enuresis is a disorder displaying with persistent involuntary urination in sleep. And thus children's are sleeping on daily time, thus a right to tie this therm not with a time of a day, just with a sleep condition, and on English literature calls wetting bed.
Till 3 y.old urine incontinence is norm, on this year is going process for forming urination act, but after staying a most spreading for child and teenage ages, and by stats babies till 5 y old are suffering on 5 percent, 15 percents for children's till ten y.old, and less on 3 percent are teenagers. Decreasing frequency for diseases is tie with his effectivity cure and with benign cure, thus in 15 perc for children's he is self leaving and not depending on from cure. Enuresis a having not just on child s age, but in boys , as in women's, by anatomic and biologic reasons. This is a not self disease and meeting in a clinical picture for different diseases are urinary ways and nerve, and in psychic destroy. And thus neurologists here curing her as and urologists, psychiatrists, nephrologists, and every specialist having and own look on the problem and an own static data, but parents are not visiting doctors, and cure here is a not full.
Urination is norm is hard process , for which a needing right anatomy for urinary ways.And these are three acts for urination, in tissue for urinary bladder, on the level for spine brain, and head.
A baby was born, he pees is often, but on the small quantities, on 4-6 months mum can to see signs , which baby offers before urination and trying to sit his over toilet, when he is sitting good, he can sit on the pot. Here is adding in regulation process is spine brain, and here is mention a pampers and giving comfortable and problem, and later wean from theirs, thus a high probably and continuation for enuresis , children not feeling discomfort as a wetting bed , and not manufacturing a conditional reflex for wake up on this moment. A baby is growing and understanding urination process and asking him to pee, if he is not wanting, or endure and this phase when in hard processes beginning taking part a head brain. And about a night incontinence is still one factor affecting is hypophyses hormone vasopressin, which must manufacturing in adequate quantity as to 5 y.old. Thanks for him is on the night in norm is less urine secreting, than on a day, and we can sleep till a morning, and not waking up for pee. A date for hypohise developing and secreting enough quantity of vasopressin is depending on from genetically, thus in parent had been enuresis, thus a probably in children is rising.
And in urinary bladder selecting are good working muscles is detrusor is urine accumulation, and sphincter is urinary bladder empties and must do a full. As of stress, a process for work is staggering and dry baby often visiting to pee and staying wetting on night on the sleeping time. And stress for him, where is not stress for parents that again needing visiting for school, as after holidays, and events.
And in a hard ;process for investigation and cure a problem for enuresis is complex. And first are excludes infections and destroying in structure urinary ways, neurologic diseases, where is urologist doing urine test, ultrasound with definition for urine remainder. To ultrasound test is right ready, before 3 hours you need to peel, last use 3 glasses of water,that on a testing time you want to pee. Doctor looking a size for urinary bladder , after children will to pee, and testing keeping for a size checking remaining urine. And you need keep diary for natural rhythm urination and a size for drinking liquid within 3 days.
A cure depending on from data tests, and his success from a parent's persistences for a using all doctor s recommendations. Avoid to scold children and punish for wetting bed, this is not benefitted for him, and negatively affecting on a character forming.
Parents are needing using these activities:
Limiting drinking for children after 18-19 .00 , his drink regime to organize as a drink liquid spreading is a same within a day.
On the half first night to wake up his for sit on a pot,that here is a full wake up need, if he reacts on wake up is negatively and abruptly , and in psychogenic conditions as hyperactivity, easy nerve system excitable and etc, thus avoid his for wake up.
Organize for him before wake up a calm character for plays, or calming reading.
Concentrate attention on a stubborn wish for wake up in a urge for urination.
These procedures are not just cure effects having, just a forming active counteraction for problem from a children s side.And you can use urinary alarm clock, as sensors putting in pants and reacting on urinary secretion by vibration and taste signal , manufacturing in a children reflex for wake up, and moment for urination on the night. Exercises for the muscles training for small pelvis, which besides an own base functions and still improving blood circulation in tissues for urinary bladder.
Assortments for remedies a enuresis cure are much, choice is depending on from a disease form, and in every concrete children determine by specialist as individually. And possibles for physiotherapy, are ten variants or more selecting by doctor, and self cure here is not giving results as and constant.
By Blohina, urologist, andrologist.
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