Ukuchama embhedeni kuyinkinga evamile ezinganeni, futhi kwezinye izimo, entsheni. Akuvamile, kungathinta nabantu abadala. Ukuchama embhedeni kuhilela ukungalawuleki komchamo emini noma ebusuku (i-nocturnal enuresis). I-nocturnal enuresis ayivamile ukwenzeka kubantu abadala, kodwa uma kwenzeka, ingaba yinkinga enkulu.
Ukuze uqonde kangcono ukuthi lesi simo siyini, ukuthi sikuthinta kanjani, nokuthi yini okufanele uyenze ukuze usiphathe, qhubeka ufunda.
Yini
Ukuchama embhedeni, okwaziwa nangokuthi i-nocturnal enuresis, ngezinye izikhathi kubizwa ngokuthi ukungalawuleki komchamo kubantu abadala. Kuyisimo esivamile ezinganeni ezincane futhi ngokuvamile sibangelwa yisinye esingakavuthwa, esizokhula ngendlela evamile njengoba ingane ikhula, futhi inkinga izozixazulula ekugcineni.
Kulinganiselwa ukuthi u-15% wezingane ezingaphezu kweminyaka emithathu ubudala kanye no-10% ngaphezu kweminyaka emihlanu bamanzisa umbhede ngezikhathi ezithile. Eqinisweni, odokotela abaningi ababheki ukuchama embhedeni ezinganeni njengophawu lwenkinga ngaphandle uma ingane ingaphezu kweminyaka eyisikhombisa ubudala, noma isiqalile ukuchama umbhede futhi ngemva kwezinyanga eziyisithupha zokulawula isinyi ebusuku.
Kodwa-ke, lapho abantu abadala bemanzisa umbhede, kuvame ukuba yinkomba yesifo esiyisisekelo, isifo, noma uphawu lwezinye izimo zezokwelapha ezingalashwanga. Kubantu abadala, ukumanzisa umbhede akugcini nje ngokuba yisimo esibuhlungu nesihlazisayo, kodwa kuvame ukuba yisibonakaliso sezinye izinkinga zezokwelapha. Uma umuntu omdala emanzisa umbhede njalo, kubalulekile ukubona udokotela ukuze kutholakale imbangela yenkinga. Kuphela lapho imbangela isitholakele lapho ukwelashwa okufanele kungatholakala khona.
Izinkinga ze-enuresis
Njengoba sesiphawulile ngenhla, kubalulekile ukuthola izimbangela ezingabangela i-enuresis kubantu abadala. Ezinye zezimbangela ezivame kakhulu ezingabangela lesi simo kungaba yilezi ezilandelayo:
- Izakhi zofuzo
- I-Urinary tract infection (UTI)
- esinyeni esincane
- Diabetes
- isifo sezinso
- I-prostate gland ekhulisiwe
- Umdlavuza wendlala yesinye
- Umdlavuza wesinye
- Imiphumela engemihle yeminye imithi
- Izinkinga ze-neurological
- Ukucindezeleka, ukukhathazeka noma ezinye izinkinga ezingokwengqondo
- Ukulala i-apnea
- Ukungalingani kwe-antidiuretic hormone
- Imisipha yesinye esebenza ngokweqile
- Ukungalingani kweHormonal
Kutholakala kanjani?
Ukuze kutholakale imbangela yokuchama embhedeni kumuntu omdala, kubalulekile ukuhlola impilo yomuntu ngokusebenzisa izivivinyo ezahlukene zezokwelapha. Ukuthola imbangela yokuchama embhedeni kungaba nzima, njengoba kuvame ukuba yisimo sezokwelapha esiyimfihlo.
Uma umuntu othintwe yilesi simo efuna ukuyofuna ukwelashwa nge-enuresis yakhe yasebusuku, kuyodingeka ahlole okukodwa kwalokhu (noma okungaphezu kokukodwa kwakho) ukuze athole ukuthi kwenzekani ngempela kuye. Ezinye zalezi zivivinyo yilezi ezilandelayo:
- Hlola físico
- ukuhlolwa kwezinzwa
- Ukuhlolwa komchamo
- Ukuhlolwa kwe-Urological
- Izinso kanye nesinye i-ultrasounds
Kubalulekile ukuthi uhlanganyele ngenkuthalo ekunakekelweni kukadokotela wakho ukuze akwazi ukunquma kahle ukuthi kwenzekani futhi athole imbangela yenkinga. Ukuze usize ngalokhu, ungagcina irekhodi lokuchama kwakho embhedeni ngaphambi kokuqokwa kwakho. Ukuze unikeze lolu lwazi, kufanele ubhale phansi nsuku zonke kuze kube yilapho udokotela wakho eqokwa (cishe amasonto amabili):
- Kunini okungenzeka kakhulu kuwe (imini noma ebusuku)
- Inani lomchamo ovuzayo (kakhulu, kancane, cishe awukho)
Zingaki iziphuzo ezidakayo ojwayele ukuziphuza ngosuku? - Izinhlobo zoketshezi oluphuzayo (nokuthi ziqukethe i-caffeine noma utshwala)
- Inombolo yobusuku obungamanzisi umbhede kanye nenani lobusuku obuputshuze emavikini angu-2 adlule
- Izifo zomgudu womchamo ezivamile
- Unjani umchamo endlini yokugezela (oqinile, ongaguquki, obuthakathaka, onamathonsi)
Ukwelashwa kwe-enuresis
Ukuze uqale ukwelashwa kufanele ulandele iziqondiso ezikhonjiswe udokotela wakho, kodwa kubalulekile futhi ukuthi ugcine amathiphu athile engqondweni. Amathiphu ami kanje:
- Misa imikhawulo yokuphuza uketshezi
- Yehlisa noma ukhiphe i-caffeine notshwala ekudleni
- Yenza ukuchama kube yinjwayelo. Hlela isimiso sokuqinisekisa ukuthi uchama njalo ngehora elilodwa kuya kwamabili phakathi nosuku
Thulula esinyeni sakho ngaphambi kokulala, ngisho nalapho ungadingi ukuthi uhambe - Setha i-alamu yasebusuku ukuze uchame phakathi nobusuku
Vikela umbhede wakho ngezikhava ezikhethekile zikamatilasi - Gqoka izingubo zangaphansi ezimuncayo ebusuku
- Sebenzisa imikhiqizo ukuze unakekele isikhumba sakho futhi ugweme ukucasuka nobuhlungu okwenzeka lapho uhlangabezana ne-enuresis yasebusuku eqhubekayo.
Ezimweni eziningi, ukulawula ukungakwazi ukuchama ebusuku kwehla ekwelapheni izimo zezempilo ezingaphansi. Nokho, kuneminye imithi kadokotela ekhonjisiwe ukuthi iyasiza futhi udokotela wakho angase ayinikeze:
- Izidakamizwa ze-Anticholinergic zokuthulisa isinye esithukuthele.
- Ama-antibiotics ekwelapheni izifo zomgudu womchamo.
I-Desmopressin acetate - Imithi enciphisa ukuvuvukala kwe-prostate
Ukuchama embhedeni kuvame ukuba uphawu lwe-sleep apnea ezinganeni, kodwa akuvamile kakhulu kubantu abadala. Kodwa-ke, inani elincane labantu abadala liqala ukuba ne-sleep enuresis njengoba izimpawu zabo ze-sleep apnea ziba zimbi kakhulu. Kulaba ziguli, izimpawu zokuchama embhedeni zivame ukunyamalala uma ukwelashwa okuqhubekayo kokucindezela komoya sekuqaliwe ukwelapha i- sleep apnea.
Kuphela ezimweni ezithile, kuye ngembangela eyinhloko, lapho udokotela anganquma khona ukuthi ukuhlinzwa kuyindlela enhle. Ukuhlinzwa kungafaneleka ekwelapheni isinyi esisebenza ngokweqile, kodwa kuyindlela elinganiselwe futhi kufanele icatshangelwe kuphela uma zonke ezinye izindlela zokwelapha ezingangenisi kakhulu zingaphumelelanga. Uma ubona ukuthi usanda kuqala ukuba nezingozi embhedeni, ungabi namahloni okubona udokotela wakho. Ngeke bakwahlulele; indima yabo ukunakekela impilo yakho nokuthola ukuthi yini engalungile ukuze bakwazi ukubhekana nokungakhululeki kwakho ngokushesha okukhulu.