Yu de wɔri se yu pikin stil de wet di bed na nɛt, pan ɔl we i tren fɔ go na tɔylɛt? Yu kin shem, vɛks, ɔ ivin nɔ ebul fɔ du dis. Bɔt nɔ wɔri, dis na prɔblɛm we bɔku mama ɛn papa dɛn kin gɛt nɔto jɔs na Sri Lanka bɔt ɔlsay na di wɔl. Di tin we impɔtant pas ɔl na fɔ ɔndastand se dis nɔto di pikin in fɔlt ɛn nɔto yu fɔlt . Lɛ wi tɔk bɔt dis ditayli .
Wetin rili na bedwet?
Fɔ tɔk am simpul wan, fɔ wet na bed, ɔ we dɛn kɔl am ``Nocturnal Enuresis'', na di lik we yu nɔ want, we yu nɔ ebul fɔ kɔntrol we yu de slip na nɛt. Dis kin rili kɔmɔn pan yɔŋ pikin dɛn.
Tink bɔt am, bɔku pikin dɛn kin stil wet di bed na nɛt afta dɛn dɔn tren dɛn fɔ go na tɔylɛt, ivin te dɛn ol 4, 5, ɔ 6. Na pat pan di we aw dɛn bɔdi de gro. na biכs di kכmyunikeshn bitwin dεn blad εn bren nכ fulכp divεlכp yet.
Bɔt bɔku tɛm, dɔktɔ kin jɔs bigin fɔ tek dis as prɔblɛm if di bed wet kɔntinyu pas tu tɛm insay di wik afta i dɔn ol 7 ia .
Dis nɔto siriɔs sik. Bɔt i kin mek di pikin ɛn di famili strɛs na in maynd. Di pikin kin shem ɛn fil gilti bifo big pipul dɛn. Sɔntɛnde, dɛn kin ivin avɔyd tin dɛn lɛk fɔ de na padi dɛn os ɔ fɔ go trip, bikɔs dɛn de fred se "Wetin if a fɔ pis na nɛt?"
Di impɔtant tin na fɔ ɔndastand se dis nɔto jɔs we pɔsin de bost ɔ we i nɔ tren fayn fɔ yuz tɔylɛt. Bɔku rizin dɛn de fɔ dis.
Tu men kayn we de fɔ wet na bed.
Wi kin luk dis sityueshɔn tu men we dɛn. We yu ɔndastand dis, dat go ɛp yu fɔ ɔndastand di tin dɛn we de apin to yu pikin.
| Kayn | Simply minin |
|---|---|
| Praymari Nɔktral Enuresis | Dis min se di pikin nɔ ɛva de wet na bed na nɛt fɔ at le 6 mɔnt frɔm we dɛn bɔn am. Dis min se di abit de kɔntinyu. |
| Sɛkɔndari Nɔktral Enuresis | Dis na we pikin dɔn de wet-wetin fɔ at le 6 mɔnt ɛn afta dat wantɛm wantɛm i bigin fɔ wet di bed bak. Dis kin bi bikɔs ɔf mɛrɛsin ɔr saykilɔjik kɔz. |
Wetin mek dis kin apin to pikin dɛn (ɛn sɔm big pipul dɛn)?
No wan rizin nɔ de fɔ dis. Di rizin kin difrɛn frɔm wan pikin to ɔda pikin ɛn i kin difrɛn frɔm di ej.
Wetin mek dis kin apin to yɔŋ pikin dɛn?
Bɔku tɛm, di men rizin we mek yɔŋ pikin dɛn wet na bed na bikɔs dɛn nɔ dɔn ebul fɔ kɔntrol dɛn blad yet. Dis na nɔmal tin. Bɔt sɔntɛnde, mɔ if pikin dɔn big smɔl ɛn kɔntinyu fɔ wet di bed, i kin gɛt wan sik we de ɔnda am.
- Urinary Tract Infection (UTI): Urinary tract infection kin mek pɔsin de pis bɔku tɛm ɛn i nɔ kin izi fɔ kɔntrol am.
- Kɔnstipɛshɔn: We di stɔl nɔ pas fayn ɛn ful-ɔp di rεktum, i de put prɛshɔn pan di blad. Dis kin mek di blad nɔ gɛt inof rum fɔ ful-ɔp ɔl ɔ i kin mek i nɔ ebul fɔ kɔntrol insɛf.
- Dayabitis: Dis kin bi wan fɔs sayn fɔ dayabitis. we di shuga we de na di bכdi de go כp, mכr urine de kכmכt.
- Prɔblɛm lɛk fɔ snor (Obstructive Sleep Apnea): Pikin dɛn we gɛt prɔblɛm fɔ blo we dɛn de slip kin gɛt chenj na di wok we sɔm ɔmon dɛn de du na dɛn bren, we kin mek dɛn mek mɔ urine na nɛt.
- Nεv Prכblεm: If eni wik de na di nerv dεm we de kכri mεsej frכm di blad to di bren.
- Kכndishכn lεk ADHD: Dis kכndyushכn kin kכmכn bak pan pikin dεm wae gεt atεnshכn εn pεrformεns prכblεm.
Kɔz dɛm wae kin afɛkt big pipul dɛm ɛn yɔŋ pikin dɛm
If pɔsin we dɔn ol gɛt dis sik, i kin bi bikɔs ɔf dɛn rizin ya.
- Jɛnɛtiks: If yu mama ɔ papa bin gɛt dis prɔblɛm we i bin smɔl, yu pikin kin gɛt am bak.
- Ɔmon dɛn: Wi bɔdi gɛt wan ɔmon we de mek di urine nɔ bɔku na nɛt. Dɛn kɔl am `(Vasopressin)`. Sɔm pipul dɛn bɔdi nɔ kin mek dis ɔmon inof na nɛt. Dɔn dɛn kin mek urine na nɛt ɛn bak na de, ɛn di blad kin ful-ɔp kwik kwik wan.
- Smכl Fכnshכnal Blad Kapasiti: Insay dis kes, di blad nכmal in saiz, bכt ivin we i ful sכmtεm, i de sεnd di rכng signal to di bren, se "I ful naw, a nid f כ pis ."
- Dip slip (We yu nɔ ebul fɔ wek):Sɔm pikin dɛm (ɛn big pipul dɛm) kin slip so dip dat ivin if dɛn blad ful ɛn sɛn signal to di bren, dɛn nɔ go wek.
- Prɔblɛm dɛn we de na pɔsin in maynd: Imajin, tin dɛn lɛk we yu lɔs yu fambul, we yu muf go na nyu skul, mama ɛn papa dɛn prɔblɛm, ɔ ɛgzam strɛs kin mek pikin we dɔn de du wɛl fɔ sɔm mɔnt bigin fɔ wet di bed bak.
Ustɛm wi fɔ go to dɔktɔ?
Pan ɔl we na nɔmal tin fɔ wet na bed, sɔntɛnde i kin impɔtant fɔ go to dɔktɔ. I kin ɛp bak fɔ mek yu nɔ fred ɛn nɔ gɛt wan dawt.
| If yu gɛt dɛn sik ya... | Wetin fɔ du |
|---|---|
| If di pikin dɔn pas 7 ia ɛn stil wet di bed bɔku tɛm. | Fɔ tru, yu go si dɔktɔ ɛn gɛt advays. |
| If yu nɔ wet di bed fɔ 6 mɔnt ɔ mɔ ɛn afta dat i bigin bak wantɛm wantɛm (Sɛkɔndari Enuresis). | Dis kin bi sayn fɔ ɔda ɔndalayn kɔndishɔn. Go to dɔktɔ wantɛm wantɛm. |
| If yu de pis pan yu klos nɔto jɔs na nɛt, bɔt yu de pis bak na de . | Dis na rili tin we nid fɔ chɛk. |
| If yu se i kin at we yu de pis , if yu urine in kɔlɔ dɔn chenj, ɔ if yu se yu kin tɔsti ɔltɛm. | Dɛn tin ya kin bi sayn dɛm fɔ tin dɛm lɛk urinary tract infection ɔr dayabitis. Tɛl yu dɔktɔ. |
| If yu gɛt kɔnstipɛt ɔ yu de snor we yu de slip. | Bedwet kin apin bak fɔ dɛn rizin ya, so tɛl yu dɔktɔ bɔt dis bak. |
Aw fɔ trit ɛn manej?
Di bɛst tin na dat, tritmɛnt ɛn manejmɛnt opshɔn dɛn de we rili fayn fɔ dis. Yu dɔktɔ go chɛk yu pikin, aks yu bɔt yu sik dɛn, ɛn if nid de, du wan tɛst fɔ urine, fɔ no di bɛst tritmɛnt fɔ yu pikin.
1. Di Chenj fɔ di Biɛvhɔ
Bɔku tɛm, dɛn kin tray dɛn we ya fɔs. Dɛn kin ɛp fɔ sɔlv di prɔblɛm we dɛn nɔ de yuz mɛrɛsin.
- Limit wata bifo yu go slip: Stɔp fɔ gi wata, milk, ɛn sɔft drink lɛk 2 awa bifo yu go slip. Bɔt yu fɔ gi yu pikin bɔku wata insay di de.
- Mek shɔ se yu go na tɔylɛt bifo yu go slip: Ivin if yu pikin se dɛn nɔ gɛt urinary tract infection, mek am yu abit fɔ go na tɔylɛt ɛn ɛmti in blad ɔlsay bifo i go slip.
- Enuresis Alarm: Dis na smɔl tin. Dɛn kin put wan sɛns pan di pikin in ɔndawea. we dεn pas wan dכp pan urine , di sεns de dεtekt am εn wan alam (sawnd כ vaybrεshכn) de aktibכt. Dis kin mek di pikin wek. As tɛm de go, di bren kin yus fɔ wek we di blad ful-ɔp. Dis na wan we we rili wok.
- Blada Tɛrapi: Insay di de, we di pikin nid fɔ pis , dɛn kin tich dɛn fɔ ol am fɔ sɔm minit. Dis tɛm de go ɔp smɔl smɔl. Dis de tren di blad fɔ ol mɔ urine. Dɛn fɔ du dis ɔnda di advays we dɔktɔ gi am.
2. Di mɛrɛsin dɛn we dɛn kin yuz
If di we dɛn we wi dɔn tɔk bɔt nɔ wok ɔ if ɔda rizin de fɔ mɛn yu, yu dɔktɔ kin gi yu mɛrɛsin.
- Desmopressin: Dis na sεntetik dכg we fiba di כmon `(Vasopressin)` we wi bin dכn tכk bכt. I de wok bay we i de ridyus di urine we de kɔmɔt na nɛt.
- Oxybutynin ɔ Tolterodine: Dɛn mɛrɛsin ya kin ɛp fɔ ridyus di blad kɔntrakshɔn if yu gɛt blad we de wok pasmak.
I rili impɔtant: Dɛn fɔ jɔs gi dɛn mɛrɛsin ya if dɔktɔ tɛl dɛn. Nɔ ɛva gi yu pikin dɛn mɛrɛsin ya bay wetin i yɛri ɔ we i kɔmɔt na famasi.
Di tin we impɔtant pas ɔl na fɔ shep di pikin in maynd.
Ivin impɔtant pas tritmɛnt, ɛn sɔntɛm i impɔtant pas ɔl na fɔ gi di pikin sɔpɔt pan aw i de fil. Dis kin rili afɛkt di pikin in kɔnfidɛns pan insɛf.
- Nɔ ɛva kɔl yu pikin: Nɔ kɔl yu pikin, pɔnish, ɔ shem yu pikin bifo ɔda pipul dɛn bikɔs i wet di bed. Dis go jɔs mek di prɔblɛm wɔs.
- Ɛksplen se dis nɔto in fɔlt:Tɛl yu pikin wit lɔv se, "Dis nɔto yu fɔlt, bɔy pikin/ gyal pikin. Dis go bɛtɛ as yu de gro. Lɛ wi wok dis togɛda."
- Involv yu pikin fɔ chenj di bed shit: Nɔ yuz dis as pɔnishmɛnt, bɔt as rispɔnsibiliti, se, "Lɛ wi ɔl tu klin dis togɛda."
- Sɛlibret "Dray Nayt": Gi yu pikin smɔl gift fɔ di de dɛn we dɛn nɔ de wet di bed na nɛt, ɔ put sta na kalenda. Smɔl tin dɛn lɛk dis kin rili ɛnkɔrej yu pikin.
Mɛsej we dɛn kin kɛr go na os
- Fɔ wet na bed na wan tin we kin apin to yɔŋ pikin dɛn. Nɔto sik, bɔt i kin bi wan stej we pikin de divɛlɔp.
- Dis nɔto di pikin in fɔlt ɔ les. So nɔ pɔnish di pikin ɔ shem am.
- Tray fɔ chenj di we aw yu de biev simpul wan, lɛk fɔ nɔ drink bɔku wata tu awa bifo yu go slip ɛn fɔ go na tɔylɛt bifo yu go slip.
- If yu pikin dɔn pas 7 ia, i stil de wet in klos insay di de, ɔ i dɔn bigin fɔ du am bak afta sɔm tɛm , yu fɔ rili go to yu dɔktɔ.
- Nɔ gi yu pikin ɛni mɛrɛsin if yu nɔ gɛt dɔktɔ in advays.
- Yu peshɛnt, lɔv, ɛn sɔpɔt na di bɛst mɛrɛsin fɔ yu pikin fɔ win dis prɔblɛm.
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