What parents need to know about enuresis in children
for primary nocturnal enuresis is characterized by high frequency of spontaneous cure, since its causes are disappearing: there is the maturation of the bladder, increase bladder capacity, difficulty awakening disappears, etc. As for the secondary nocturnal enuresis, it is customary to link his appearance with a high level of stress experienced by the child( eg, replenishment of the family) at a time when control of bladder activity is carried out it is not fully utilized. However, the exact cause, because of which secondary enuresis develops, has not yet been established.
When should I begin to worry?
Thus, the treatment may consist of one or more drugs and non-drug methods, and includes:
- motivational therapy
- training bladder
- holding control over the amount of fluid consumed
- therapy "urinary signaling»
- therapy using
medicaments When a child andParents have enough desire and a spirit for long-term therapy, treatment begins with the use of non-pharmacological methods of treatment( the first three of the above).The duration of such treatment takes from 3 to 6 months.
Motivation therapy
If motivational therapy does not work after 3-6 months, then it's time for other methods.
Bladder training
Control fluid intake
Therapy "uric alarm»
is the most effective treatment for nocturnal enuresis. A special device is placed under the sheet or placed in undergarments. When in contact with moisture, the machine awakens the child with an alarm clock or a vibrating belt. Thus, the patient develops a conditioned reflex: he wakes up at night to empty the bladder or learns to stop urinating until the morning. If the device is not able to wake the child, then this responsibility falls on the parents. But at the same time responsible for preparing the device for use every night brings a child and he must perform all actions: if the sound signal to get up, turn off the device, go to the toilet for emptying the residual, back, wipe the sensor, again turn on the device and go to bed. It is also necessary to keep a diary and the existence of a reward system for "dry" nights. Typically, the device is used continuously, until there are 21-28 nights in a row there will be no "wet" nights.
Alarms
The use of an alarm clock for scheduled nighttime urination can also be an option. As studies have shown, this simple method has also proved to be very effective.
Alarms
The use of an alarm clock for scheduled nighttime urination can also be an option. As studies have shown, this simple method has also proved to be very effective.
