txheem
- Primary enuresis: kev txhais
- Dab tsi yog qhov ua rau thawj enuresis hauv menyuam yaus?
- Puas yog nruab hnub lossis hmo ntuj?
- Qhov txawv ntawm thawj thiab theem nrab enuresis yog dab tsi?
- Kev kho mob thiab kev daws teeb meem rau thawj enuresis
- Tus thawj enuresis puas tuaj yeem cuam tshuam rau cov neeg laus?
Primary enuresis: kev txhais
Peb hu ua enuresis involuntary tso zis, tshwm sim feem ntau thaum hmo ntuj, thaum muaj hnub nyoog thaum kev huv yuav tsum tau tag nrho, nyob rau hauv lwm yam lus, tshaj 5 xyoo. Thawj enuresis tshwm sim nyob rau hauv ib tug me nyuam uas tsis tau muaj peev xwm tswj tau nws lub zais zis sphincters, thaum theem nrab enuresis tshwm sim tom qab tsawg kawg rau lub hlis ntawm cov zis continence, tsis muaj "bedwetting" yam xwm txheej; uas yog hais nyob rau hauv tus menyuam yaus uas pib ntub lub txaj dua tom qab tau txais kev huv.
Dab tsi yog qhov ua rau thawj enuresis hauv menyuam yaus?
Nyob rau hauv tus me nyuam enuretic, thawj enuresis tej zaum yuav muaj feem xyuam nrog:
- qeeb zais zis maturation;
- nocturnal polyuria, uas yog hais ntau ntau cov zis thaum hmo ntuj vim qhov txo qis hauv kev tsim cov tshuaj tiv thaiv diuretic;
- lub zais zis me dua nruab nrab los yog overactive;
- siab dua "wakefulness threshold", piv txwv li ib tug me nyuam uas sawv los nyuaj dua nyob rau hauv nruab nrab ntawm hmo ntuj, thaum nws pw tsaug zog, thiab yuav tsum tso zis tsis txaus los cuam tshuam;
- ib tsev neeg predisposition thiab yog li ntawd los ntawm noob caj noob ces yam tseem ceeb, nrog enuresis nyob rau hauv ascending neeg nyob rau hauv 30 mus rau 60% ntawm cov neeg mob.
Nco ntsoov tias qee yam ntawm kev puas siab puas ntsws lossis kev sib raug zoo hauv tsev neeg tuaj yeem ua rau, tswj lossis ua rau lub cev tsis zoo.
Puas yog nruab hnub lossis hmo ntuj?
Bedwetting feem ntau yog thaum tsaus ntuj, nruab hnub pw tsaug zog zoo ib yam ntawm kev tso zis, nrog rau cov zis tawm, los yog kab mob urinary. LUB'diurnal thawj enuresis tej zaum yuav yog ib qho cim ntawm ib qho mob hauv qab, xws li ntshav qab zib, lossis muaj feem cuam tshuam rau lub zais zis qeeb. Thaum nws yog ob qho tib si diurnal thiab nocturnal, thawj enuresis yuav tsum muaj kev sab laj kom paub txog qhov ua rau (s), thiab tswj nws raws li.
Qhov txawv ntawm thawj thiab theem nrab enuresis yog dab tsi?
Kev ntub dej hauv txaj yog qhov tseem ceeb yog tias nws tsis tau ua ntej los ntawm kev ua kom huv, lub sijhawm uas tus menyuam tau ntxuav tau tsawg kawg rau lub hlis.
Thaum enuresis tshwm sim tom qab lub sij hawm thaum tus me nyuam tau huv lawm, nws hu ua Secondary enuresis. Qhov no feem ntau pib ntawm 5 thiab 7 xyoo, tab sis kuj tuaj yeem tshwm sim tom qab, tshwj xeeb tshaj yog thaum hluas.
Kev kho mob thiab kev daws teeb meem rau thawj enuresis
Kev kho mob ntawm enuresis yog ua ntej ntawm tag nrho cov tsim ntawm kev tu cev-dietetic ntsuas yooj yim, xws li saib xyuas koj haus ntau npaum li cas ua ntej pw, thiab nkag mus rau hauv tus cwj pwm ntawm kev mus rau chav dej ua ntej yuav mus pw.
Kev ntsuas kev kawm, xws li khaws daim ntawv qhia hnub voiding, nrog "qhuav" hmo thiab "ntub" hmo, kuj tseem tuaj yeem tiv thaiv pw tsaug zog. "Stop pee", lub tswb ceeb toom rau kev tsa tus menyuam los ntawm thawj qhov tso zis hauv nws daim pawm, muaj teeb meem tab sis kuj tuaj yeem ua haujlwm.
Ntawm cov tshuaj, cov kev kho mob tseem ceeb tshaj plaws yog desmopressin (Minirin®, Nocutil®), tab sis nws tsis zoo.
Tus kws tshaj lij twg los sab laj?
Thaum pib, ntsib nrog thawj enuresis hauv cov menyuam yaus, tus kws kho mob lossis tus kws kho mob yuav raug sab laj, leej twg yuav saib xyuas qhov ua tau (s), thiab yuav txiav txim siab lossis tsis kuaj pom thawj zaug nocturnal enuresis cuam tshuam nrog diurnal voiding disorders. los yog nruab hnub enuresis. Vim tias kev tswj hwm tsis zoo ib yam yog tias nws yog ib qho kev sib cais thawj zaug nocturnal enuresis (ENPI) lossis ib qho nocturnal enuresis cuam tshuam nrog daim ntawv diurnal. Tus kws kho mob lossis tus kws kho menyuam yaus muaj peev xwm kho tau tus mob thawj zaug yog tias nws tsis cuam tshuam nrog cov kab mob nyuaj lossis kev puas siab puas ntsws. Tus kws kho mob yuav xa mus rau ib tus npoj yaig (urologist, kws phais neeg mob, tus kws kho mob hlwb, tus kws kho mob hlwb, thiab lwm yam) yog tias qhov enuresis xav tau kev soj ntsuam ntxiv.
Homeopathy puas siv tau?
Muaj ntau cov lus pov thawj uas qhia tau hais tias homeopathy ua rau nws muaj peev xwm muab qhov kawg rau thawj enuresis. Txawm li cas los xij, kev kho mob ntxiv xws li hypnosis, homeopathy, acupuncture lossis chiropractic tsis tau ua pov thawj lawv cov txiaj ntsig, yam tsawg kawg raws li Fabkis Association of Urology. Muaj ntau cov kev tshawb fawb txog cov ntsiab lus no, tab sis lub koom haum suav tias lawv tsis nruj heev ntawm cov txheej txheem txheej txheem. Tab sis tsis muaj dab tsi tiv thaiv kev sim, tshwj xeeb tshaj yog nyob rau hauv parallel los yog nyob rau hauv cov ntaub ntawv ntawm tsis ua hauj lwm ntawm cov pa kev kho mob.
Tus thawj enuresis puas tuaj yeem cuam tshuam rau cov neeg laus?
Los ntawm nws cov lus txhais, thawj enuresis tsis cuam tshuam rau cov neeg laus. Nyob rau hauv ib tug neeg laus, involuntary tso zis thaum hmo ntuj uas tshwm sim unexpectedly yuav zoo dua yuav suav hais tias ob enuresis. Tsis tas li ntawd, peb tsis hais txog enuresis thaum muaj qhov tso zis tsis tso zis, tso zis tso quav, tso zis tawm lossis txawm tias polyuria hauv cov ntsiab lus ntawm pathology (mob ntshav qab zib tshwj xeeb). Kev ncua sij hawm ntawm lub zais zis sphincter pom nyob rau hauv cov neeg uas muaj lub cev muaj zog los yog kev puas hlwb puas tseem tsis tau hu ua thawj enuresis.
Cov peev txheej thiab cov ntaub ntawv ntxiv:
- 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