Yini abazali okufanele bazi?
• Ukungabikho komzimba nsuku zonke kungavamile, futhi ikakhulukazi ezinganeni kuze kube neminyaka engu-3-4 ubudala.
• I-enuresis "Ubusuku" iyinkinga evamile kakhulu, ayisithinti izingane kuphela ezineminyaka emihlanu (20% yabantwana), kodwa futhi nabantwana abaneminyaka engu-10 (10%), intsha engama-12-14 (3%) kanye nabantu abadala abangaphezu kweminyaka engu-18 1%).
Enuresis kwenzeka:
• okuyisisekelo - kubonakala emntwaneni kusukela eminyakeni yokuqala yokuphila:
• eyesibili - uma ukungenwa kwe-incontinence kwenzeka ngemva kwesikhathi esibekiwe "esomile".
Kunezimbangela eziningi zokungasebenzi komzimba: ukuhlukunyezwa kokubeletha kwesistimu yezinzwa eziphakathi. ukuphazanyiswa kokukhiqizwa kwamahomoni athile kanye nokulawulwa kwemizwa yesibindi sesisu, ukutheleleka kwamagciwane, i-SARS, njll. Ukuhlonipha kubaluleke kakhulu. Isizathu esivame kakhulu ukucindezeleka, izinzwa nezinye izici ezingokwengqondo ukuthi, ngokumelene nesimo sesimo esibuthakathaka somzimba, siphuca umkhuhlane. I-neurotic enuresis ingase ibe yesikhashana (njengendlela yokucindezeleka okucindezelayo) futhi ihlala isikhathi eside (uma ukucindezeleka kwengqondo okuye kwavela kuye kwamukele ukuqiniswa okwengeziwe). Okhulile umntwana, okuphawuleka kakhulu umphumela wombuso wesimiso sakhe sezinzwa ngesikhathi sesifo. Ungenza ngisho ne-portrait evamile yengqondo yezingane ezinenkinga efanayo. Ngesikhathi semini, njengomthetho, ingane enjalo ihlale igxilile kakhulu, idlala ngokukhululekile, ikhululekile kakhulu ngokuvumelana nokuhlala ngokuthula, ifinyelela kubahlaziyi. Kusihlwa, ingane ayikwazi ukulala, ilele isikhathi eside, ngisho noma ikhathele kakhulu, ilele ngokulala - ingakwazi ukukhuluma ebuthongweni, ihlale ihamba. Abazali ababuka ingane yabo ebusuku baqaphele ukuthi amahora okulala ambalwa okuqala aphumule kuze kufike umzuzu wokuvuthwa okungenasidingo (khona-ke umntanakho uqede ngokucacile phansi). Ukuvusa ingane ukuze ihlale phansi embizeni ngamabomu, cishe ingapheli. Ngaphezu kwalokho, ukulala okuphazamisekile kuvimbela isimiso sezinzwa somntwana, futhi ngosuku olulandelayo umntwana uziphatha ngokweqile, okungaholela ekutheni kube nesiqephu esisha sokungabikho. Esinye sezibonakaliso zokuthola i-enuresis ye-neurotic ukuzwela kwengane ekushintsheni kwesimo sezulu nokushisa kwe-air. Ebandleni elibandayo, ukungaziphathi kahle kuvamile kunokujwayelekile.
Uma ingane ivukile imanzi
Iphutha elivame kakhulu ukungafuni ukubonana nengane ngokungahlambuluki. Kuyingozi ukucabanga ukuthi ngokuhamba kwesikhathi inkinga izophela ngokwayo. Lesi sikhundla sivame ukuholela ekubikeni kwesimo nokubukeka kwezinkinga ezingathí sina kwengqondo yengane. Uma uqaphela ukuthi ingane ivuke ngokuphindaphindiwe embhedeni omanzi, thintana nodokotela wezingane zesifunda. Mhlawumbe kuyadingeka ukuba uhlolisiswe ukuqonda, ngabe i-enuresis ixhunywe nezifo zezinso nesisu. Ukuhlolwa kwegazi okudingekile, ukuhlolwa kwemigodi ye-urine, i-renal ultrasound yezinso kanye ne-urinary tract, ukutadisha ivolumu kanye nokuvama kokuvuthwa phakathi nosuku (okuthiwa yi-diuresis nsuku zonke), futhi kwezinye izimo, i-electroencephalography - ukubona izindawo zobuchopho ngomsebenzi ongenakwenzeka. Kodwa ngezinye izikhathi awukwazi ukubona ngokushesha imbangela yesifo. Ngezinye izikhathi ingane ibhekiselwa ekubonisaneni nezinye izazi (isazi sezinzwa, isazi sezinqondo, njll). Ukucacisa imbangela ye-enuresis kuyinkqubo ende futhi eyinkimbinkimbi, kodwa ngale ndlela kuphela kungenziwa ukwelashwa okuphumelelayo. Kodwa-ke, ukuxilongwa okunembile kakhulu akufanele kukushukumisele ekuziphatheni. Ukunikeza imithi kufanele ibe yidokotela kuphela, ngoba noma yikuphi iphutha (ngesilinganiso, ukukhetha izidakamizwa, njll) kungaholela ezinkingeni zezempilo ezingathí sina nakakhulu. Izidakamizwa zinqunywe ngokuhambisana nezindlela ze-physiotherapeutic (i-ultrasound, i-phonophoresis nezinye izinqubo) ezilawula ukusebenza kwesisindo futhi zivuselele isimiso sezinzwa. Ukuqinisa imisipha ye-pelvic floor isebenza ngokuzivocavoca kwezokwelapha.
Izincomo zamama namababa
1. Njengezinye izifo, i-enuresis inezici zayo siqu kwengane ngayinye, ngakho-ke ungazami ukushayela ingane kunoma yikuphi uhlaka jikelele. Ngamanye ama-crumb, uhlelo lwawo lwezokwelapha luyakhiwa.
2. Uma imbangela yalesi sifo iwukucindezeleka, into yokuqala okumele ukwenze ukuwuqeda. Isimo esiphuthumayo nesiphumuzayo emndenini sizokwenza ukwelashwa kuphumelele kakhulu. Kungadingeka ukuthi ubuyekeze indlela yomndeni eya emfundweni: uma kwenzeka ingane ene-enuresis, noma yikuphi ukucindezeleka kwengqondo nokuphikisana okungamukeleki. Izingane azidingi ukunakekelwa kakhudlwana komama nobaba, kodwa ukungaboni kahle nokuzijabulisa kwalokhu kunakekelwa.
Ukungabikho kwe-Z.Isli ukucasuka ukuvela emndenini wengane yesibili, abazali kumele bacabange ngobuhlobo babo nomdala. Ukukhokha ukunakekelwa okukhulu kunsana olusanda kuzalwa, zama ukwenza ingane yakho endala izwe ithandeke, ingazizwa ingadingekile futhi ingadingekile.
4. Okubaluleke kakhulu ukugcinwa kwemodi efanele yosuku futhi ikakhulukazi isikhathi sokudla okunesisindo. Phakathi nosuku, umntwana kufanele aphuze ngendlela ayifunayo, kodwa okokugcina kufanele kwenzeke kungakapheli amahora amabili ngaphambi kokulala.
5. Ukudla kwabantwana kufanele kube okuhlukahlukene ngangokunokwenzeka. Ungawasebenzisi kabi usawoti, izinongo namafutha (akhulisa ukoma), futhi afundise ingane ngokudla okuningi nge-flavour yokufakelwa kanye nezithasiselo ze-flavour. Uma ingane isetshenziselwa ukuphuza kakhulu kusihlwa, zama ukuphumula kancane kancane uketshezi lwezithelo zamanzi (ama-apula, ama-oranges).
6. Kuyadingeka futhi ukulawula nokuvuthwa: njalo amahora angu-2.5-3 ngokuthobeka kodwa ngokuqinile ukuholela ingane endlini yangasese noma isitshalo ebhodweni. Lokhu kufanele kwenziwe ngokushesha ngaphambi kokulala.
7. Ngokuvamile, izingane ezine-enuresis zinenkinga yokulala ubusuku: abenqikazi ukulala, futhi inqubo yokupakisha ngezinye izikhathi iyahamba ngokukhululekile kangangokuthi ngisho nokulala okulandelayo akukwazi ukukhokhela lokhu. Kulesi simo, ungenzi ingane ilele, ungangenelela: ingane izochitha ntambama embhede, kodwa esikhundleni sokulala iyolalela umculo othulile noma inganekwane.
8. Ukunciphisa isikhathi ingane echitha phambi kwe-TV nakumakhompyutha, ngoba lezi zenzo zithinta kakhulu umsebenzi wesimiso sezinzwa, ziholela ekukhulekeleni futhi zandisa ingozi "yenkathazo ebusuku".
9. Yenza kahle ukulala ubusuku futhi inqubo yokulala ithole imisebenzi ebizwa ngokuthi imikhosi - izenzo ezenziwa nsuku zonke ngokulandelana okufanayo: ukuhlanza amathoyizi, ukugeza, ukufunda inganekwane, njll. Kuyinto efiselekayo ukuthi umbhede wengane uwanele ngokwanele ama-mattress), nomoya ekamelweni lokushisa kufudumele. Kusihlwa, zama ukunciphisa imidlalo enomsindo futhi esebenzayo, ukufaka esikhundleni sabo ngamakilasi nomklami, i-plasticine, i-mosaic. Into eyinhloko yilokho okushiwo ukuthi "kusihlwa": akukho ukuzwa okuqinile ngaphambi kokulala. "Bantwana badabukile ebusuku?" Mcele ukuthi apende, kodwa hhayi ngebhashi, kodwa ngezandla zakhe. "Ochwepheshe bezinqondo bacabangela le ndlela ukuba ibe enye yezindlela ezinhle kakhulu zokuzolalisa ingane engasebenzi kahle." Yiqiniso, lezo zifundo zamakilasi zenzeka ngokulimaza okungcolile imvelo kuzodingeka ulungiselele: ukuguqula ingane ibe yizingubo, okungeyona isihawu emhlabathini, ukubeka phansi nge-oclock bese unikeza umculi osemusha iphepha elilodwa lephepha ukuze aziveze. Rasna kokukhulula izingane, ephumula izinzwa nemisipha, okuvumela splash ukuthi imizwa zanqwabelana.
Ukuzivocavoca kwesisu
Ukuqeqeshwa ngokuzenzakalela okulula futhi okufishane kunciphisa ukungezwani kwemisipha nengqondo, ukudala umoya okhululekile futhi usize ukunqoba izinkinga zangaphakathi. Hlangana nengqondo yengqondo yengane, uzokhetha indlela engcono yokuthinta ukucabanga ngezici zomuntu siqu. Ngaphezu kwalokho, kunezivivinyo eziningi ezikhethekile ezizosiza ingane ukuba ifunde ukuzwa izinga lokugcwalisa kwesisu sakhe futhi ilawule inqubo yokuchama ngokuzimela. Izindlela ezinjalo zisebenza kuphela ezinganeni ezineminyaka engaphezu kwengu-3 ubudala esezikwazi ukugcwalisa izicelo ezilula kuphela, kodwa futhi ukuqonda ukuthi kungani benza. Qala "ukuqeqesha" okunjalo ngokucela ingane ukuba ibambe isikhathi eside ngangokunokwenzeka futhi ikhuthaze ukuvuthwa. Ukuzivocavoca kwenziwa nsuku zonke izikhathi ezingu-1-2 ngosuku, kusiza ukuthuthukisa ukusebenza kwemisipha yokukhiya yesisu futhi ukwandise kancane amandla ayo. Uma ukuqeqeshwa okuvamile kuvunyelwe ukwandisa isikhathi "sokuqukatha", khona-ke ukuzivocavoca kuba nzima nakakhulu. Ingane, njengokwesimo sokuqala, ibuzwa ukuba ihlupheke isikhathi eside ngangokunokwenzeka, bese kuthi emva kokuqala ukuchama, ibuzwa ukuba imphazamise, uqale futhi, bese uma futhi. Ungadangali uma ingane ingakwazi ukugcwalisa ngokushesha izicelo zakho. Qhubeka ngokuzithoba nangokuphikelela ukuqeqesha inqubo yokuchama. Ngokuvamile, ngemuva kokuba ingane ifunde indlela yokuyilawula ngokukhululekile, izigameko zokuyeka ukungena emsebenzini ebusuku.
Kulabo bantwana abangakwazi ukwenza lezi zivivinyo, ungancoma indlela yokuvusa ebusuku. Yiqiniso, uzodinga ukuthi omunye wabazali ahlale ephapheme ebusuku. Le ndlela yile ndlela elandelayo: phakathi nesonto ingane kufanele ivuke njalo ihora lokulala, kusukela ngo-12: 00 ekuseni. Ngesonto elilandelayo ingane ivuswa isikhathi 1 ngehora (cishe phakathi naphakathi kwamabili kanye nesikhathi sokuvuka kwengane). Ngesonto lesithathu umntwana kufanele avuselelwe isikhathi 1 ubusuku bonke - amahora amathathu emva kokulala, kancane kancane anqume isikhathi sokuqeqeshwa ukuvusa emahoreni angu-2.5, bese kuhora elilodwa kusukela ngesikhathi sokulala. Uma iziqephu ze-incontinence ziqala, umjikelezo uphindaphindiwe.