Mucheche weti kusagadzikana: izvo zvazviri, zviratidzo uye kurapwa

Zvemukati

• Ndezvipi zviratidzo
• Zvinokonzera
• Kurapwa kunoitwa sei

Kusazvidzora kwevana pavacheche ndipo apo mwana, anopfuura makore mashanu ekuberekwa, asingakwanise kubata peya masikati kana husiku, achidongorera pamubhedha kana kunyorovesa mupanti kana chipfeko chemukati. Kana kurasikirwa kweweti kuchiitika mukati mezuva, inonzi masikati enuresis, nepo kurasikirwa mukati husiku kunonzi husiku enuresis.

Kazhinji, mwana anokwanisa kudzora pee uye tsvina zvakanaka, pasina chikonzero chekurapwa chaiko, asi dzimwe nguva zvinogona kuita kurapwa nemidziyo yake, zvinodhaka kana kurapwa kwemuviri.

Ndezvipi zviratidzo

Zviratidzo zvekusada kuita weti zvinowanzoonekwa muvana vakura kupfuura makore mashanu, apo vabereki vanogona kuziva zvimwe zviratidzo zvakaita se:

• Kusakwanisa kubata mboro mukati mezuva, uchichengeta kabhurugwa kako kana bhurugwa remukati rakanyorova, nyorova kana nekunhuhwira kwepee;
• Kusakwanisa kubata pee husiku, uchidonhedza pamubhedha, kanopfuura kamwe pasvondo.

Zera iro mwana anokwanisa kudzora pee panguva yemasikati neusiku rinosiyana pakati pemakore maviri kusvika mana, saka kana mushure meiyo nhanho mwana achiri kufanira kupfeka jira masikati kana panguva yehusiku, iwe unofanirwa kutaura kune chiremba wevana pane iyi nyaya, sezvo zvichikwanisika kuziva chinokonzera kusagadzikana uye, nekudaro, kuratidza kurapwa kwakakodzera kwazvo.

Zvinokonzera

Urinary kusagadzikana mumwana kunogona kuitika semhedzisiro yemamwe mamiriro kana maitiro emwana, iwo makuru ari:

• Kakawanda urinary chirwere;
• Kunyanyisa kuita dundira, umo mhasuru dzinoshanda kudzivirira weti kupukunyuka zvisina kubatika chibvumirano, zvichitungamira mukutiza kweweti;
• Shanduko muhurongwa hwemitsipa, senge cerebral palsy, spina bifida, huropi kana kukuvara kwenzara.

• Kuwedzera kugadzirwa kweweti husiku;
• Kushushikana;
• Majini anokonzera, sezvo paine mukana we40% wekuti mwana achachema pamubhedha kana izvi zvakaitika kune mumwe wevabereki vavo, uye makumi manomwe kubva muzana kana vari vese.

Pamusoro pezvo, vamwe vana vanogona kufuratira shungu dzekuti vatarise kuti vagone kuenderera mberi nekutamba, izvo zvinogona kukonzera kuti dundira rizare kwazvo uye nekuguma, mukufamba kwenguva, mukupera simba kwenzara dzechiuno, zvichifadza kusagadzikana.

Kurapwa kunoitwa sei

Kurapa kwekusagadzikana kwehuropi kunofanirwa kutungamirwa nachiremba wevana uye kunovavarira kudzidzisa mwana kuti azive zviratidzo zvekuti anoda kuenda kuchimbuzi nekusimbisa mhasuru dzenzvimbo yepelvic. Nekudaro, dzimwe dzesarudzo dzekurapa dzinogona kuratidzwa ndeidzi:

• Maaramu maaramu, izvo zviri zvishandiso zvine sensor yakaiswa pamapant kana chipfeko chemukati chemwana uye chinobata paanotanga kukoira, kuchimumutsa uye kumuita kuti ave netsika yekusimuka kuti aite weti;
• Physiotherapy yehucheche hweti kusagadzikana, inovavarira kusimbisa mhasuru yedundira, kuronga iyo nguva iyo mwana yaanofanira kuita weti uye sacral neurostimulation, inova nzira inosimudzira ye bladder sphincter control;
• Anticholinergic mishonga, senge Desmopressin, Oxybutynin uye Imipramine, ichinyanya kuratidzirwa mune chinyanyisa chedundira, sezvo mishonga iyi ichidzikamisa dundira uye ichideredza kugadzirwa kweweti.

Pamusoro pezvo, zvinokurudzirwa kuti usape zvinwiwa kumwana mushure menguva dza8 dzemanheru uye kutora mwana kuti atorore asati arara, sezvo nenzira iyi zvinokwanisika kudzivirira kuti dundira rizare uye mwana kuti arinde pamubhedha usiku .