Night enuresis: a view from the side
Nocturnal enuresis - involuntary urination during the night sleep. Presented pathology is quite common in childhood, at times seriously complicating the lives of children and their parents. Statistics show that about 15% of children after five years of age show nocturnal enuresis. In this case, the most important medicine is time. As you grow up, the number of children with this ailment is rapidly declining: at the age of 10 years, it occurs in 10% of children, after 17 years it suffers less than one percent.
Nocturnal enuresis: aetiology
Most physicians believe that the main cause of enuresis is the immaturity of certain spinal and cortical nerve centers that are involved in controlling the process of urination. Just like sleepwalking and night terrors, nocturnal enuresis is most often manifested in a period of deep sleep. Important factor in the development of the disease has a hereditary factor( approximately in 80% of children with enuresis, both parents in childhood also had problems with the abovementioned disease).
Urinary incontinence is most often recorded in women. Most elderly women believe that this pathology is associated with age-related "rearrangements" in the body. Sometimes urinary incontinence signals the development of pathological processes occurring in the body. The etiology of senile incontinence is associated with neurological diseases( stroke, multiple sclerosis, Parkinson's disease);weakening the tone of the pelvic floor muscles;other diseases( diabetes mellitus type II, senile dementia, a stroke transferred).
Stressed urinary incontinence is not an innocuous phenomenon, as some parents imagine it. The danger lies not in the disease itself, but in the psychological reactions that accompany it. These reactions can be divided into several groups: infringement in the social sphere( difficulties in the camp, guests, sanatoria, etc.);low self-esteem( I'm guilty, I can not do anything with myself, I'm not like everyone else, I'm ashamed);reactions from relatives and parents( punishment, grief, irritation, resentment);contempt from friends and peers( teasing, humiliation, calling, exclusion from group games).
Practical advice for parents:
- if your child is over five years old, nighttime enuresis manifests more often than twice a month, you should consult a neurologist, undergo urological examination and polysomnography;
- do not worry and do not worry, this pathology goes on almost all children;
- try to convince yourself and the child that there is no one's fault in the current nightly events;
- do not punish the child;
- , three to four hours before bedtime, limit the amount of fluid consumed.
Today there are many tools to help solve this problem( for example, enuresis alarms that wake the baby when the first drops of urine appear, as a result, the child develops a conditioned reflex and he begins to wake up himself when the first drops of urine appear).A good result is obtained when conducting auto-trainings and applying behavioral therapy. Medication therapy is used in special cases.
Nocturnal enuresis: treatment of
Neuropathologists and psychiatrists deal with treatment of enuresis. Before starting treatment, you should identify the main cause of the disease. The treatment and prophylactic complex includes the following procedures: training in the use of the toilet;Behavioral therapy( this method of treatment is indicated for children with and without mental disorders);pharmacotherapy. The latter is used to alleviate the patient's suffering, if this is not possible with the help of other means. To achieve the desired therapeutic effect, hormonal preparations are used, for example, "Desmopressin"( increases reabsorption in the renal tubules);antidepressants - "Amitriptyline", "Melipramine";psychostimulants - "Sinokarb";adrenomimetics - "Ephedrine."