Ngaba umntwana wakho ngoku uqeqeshelwe ukuya kwindlu yangasese, kodwa ngamanye amaxesha umanzisa ibhedi ebusuku? Le yingxaki eqhelekileyo kubazali abaninzi kwilizwe lethu. Usenokuziva ulusizi ngomntwana wakho, kwaye unokuziva udiniwe kwaye ukhathazekile ngokuhlamba amalaphu ebhedi yonke imihla. Kodwa ungakhathazeki. Oku kuqhelekile. Eyona nto ibalulekileyo kukuqonda ukuba oku akulotyala lomntwana, kwaye akuyonto ayenzayo ngabom . Masithethe ngale nto ngokweenkcukacha.
Kuthetha ukuthini kanye kanye ukumanzisa ibhedi ebusuku?
Ngokwezonyango, oku sikubiza ngokuba yi-"Nocturnal Enuresis". Ngamafutshane, oku kukuphuma komchamo ngokungazikhetheliyo xa ulele. Oku kuqhelekile kakhulu kubantwana abancinci, nokuba sele beqeqeshwe kwindlu yangasese. Abantwana badla ngokuyeka lo mkhwa xa beneminyaka emi-4 ukuya kwemi-6 ubudala.
Ixesha elininzi, oku akubonisi imeko yezonyango efihlakeleyo. Kwenzeka kaninzi, mhlawumbi kuphela kwipesenti encinci yabantu, njenge-1%. Ngoko ke ungaze ucinge ukuba oku luphawu lobuvila, inkani, okanye ubuqhophololo bomntwana. Oku kudla ngokuba yinxalenye yengxaki yokukhula emzimbeni womntwana. Ekuhambeni kwexesha, uninzi lwabantwana luya kuphila ngcono ngaphandle konyango.
Kodwa nokuba le ayiyongxaki inzima, umntwana unokuziva eneentloni kwaye ebuhlungu ngayo. Ngamanye amaxesha, inokukhokelela kwisilingo sokuphepha izinto ezifana nokuhlala emakhayeni abahlobo okanye ukuya kuhambo.
Kukho iintlobo ezimbini eziphambili zale meko.
Siza kukwahlulahlula oku kumanzisa ebhedini kube ziinxalenye ezimbini eziphambili. Wakuba ukuqondile oku, ungayiqonda ngcono imeko yomntwana wakho.
| Uhlobo | Kalula nje... |
|---|---|
| I-Enuresis ePhambili | Olu lolona hlobo luxhaphakileyo. Oku kuthetha ukuba umntwana ebemanzisa ibhedi ebusuku ukususela ebuntwaneni. Akakaze ayeke ukumanzisa ibhedi ebusuku kangangexesha elithile (ubuncinane iinyanga ezi-6). |
| I-Enuresis yesibini | Okwenzekayo kule meko kukuba umntwana ebengachami ebhedini ubuncinane iinyanga ezi-6, aze ngequbuliso aqalise ukuchama kwakhona ebhedini ebusuku. |
Kutheni oku kusenzeka ebantwaneni? Zithini izizathu?
Oku kunokwahluka ngokuxhomekeke kwiintlobo ezimbini zezizathu.
Izizathu ze-Enuresis ephambili
Oku kudla ngokuba ngenxa yento enye okanye ezingaphezulu zophuhliso:
- Umthamo wesinyi onganeleyo: Isinyi somntwana sisenokuba asikakhuli ngokwaneleyo ukuba sibambe umchamo ubusuku bonke.
- Ukungavuki ebuthongweni: Xa isinyi sigcwele, umntwana usenokungakwazi ukuvuka xa ingqondo ifumana umyalezo othi, "Ndiza kuchama ngoku, vuka." Abantwana abaninzi banale ngxaki.
- Ukuvelisa umchamo omninzi ebusuku: Imizimba yabanye abantwana ivelisa umchamo omninzi kunowesiqhelo ngokuhlwa nasebusuku.
- Imikhwa emibi emini: Abanye abantwana banomkhuba wokubamba umchamo wabo nokuba badlala. Usenokuba ubabonile beqaqa imilenze yabo, besenza ubuso obumuncu, kwaye besokola. Xa bezama ukulawula umchamo wabo emini, banokulahlekelwa lulawulo ebusuku.
Izizathu ze-Enuresis yesibini
Ukuba ukuchama ebhedini kuyaqala kwakhona emva kwexesha elithile, oko kungaba luphawu lwemeko yezonyango okanye yengqondo. Abantwana abanale meko banokuba neengxaki zokuchama emini.
| Isizathu esinokwenzeka | Inkcazo |
|---|---|
| Usulelo lomchamo (UTI) | Usulelo lomchamo lunokubangela ukudumba kwesinyi, ukutsha ngexesha lokuchama , kunye nokuchama rhoqo. |
| Isifo seswekile | Xa amanqanaba eswekile egazini enyuka, umzimba uvelisa umchamo omninzi ukuze ususe loo swekile. Ukuchama rhoqo luphawu olukhulu lwesifo seswekile. |
| Ukungaqhelekanga kwesakhiwo | Le meko inokubangelwa sisiphene sokuzalwa kwizitho zomzimba, kwimisipha, okanye kwimithambo-luvo yenkqubo yomchamo. |
| Ukuphelelwa ngamandla kokulala | Ukuba ukuphefumla komntwana kuyaphazamiseka ngexesha lokulala (erhona), ingqondo inika ingqalelo engakumbi ekuphefumleni kunokulawula ukuchama. Oku kudla ngokubangelwa kukwanda kweetoni kunye nee-adenoids. |
| Iingxaki zenkqubo yemithambo-luvo | Le ngxaki inokubangelwa sisifo okanye ukuphazamiseka kwenkqubo yemithambo-luvo elawula ukuchama. |
| Uxinzelelo lweemvakalelo | Khawucinge nje, izinto ezinje ngokuqalisa isikolo esitsha, ukuba nomntwana omtsha endlwini, ukufuduka kwindlu, kunye neengxabano zabazali zonke ezi zinto zibangela uxinzelelo kumntwana omncinci. Ezi zinto zinokukhokelela ekuchameni ebhedini okwesibini. |
Kubalulekile: Ukuba umntwana wakho uphilile okwethutyana aze aqalise ukumanzisa ibhedi kwakhona, musa ukuyityeshela loo nto. Kubalulekile ukufuna ingcebiso kagqirha.
Ngaba kukho unxibelelwano phakathi kwe-ADHD, i-autism, kunye nokuchama ebhedini?
Ewe, kukho unxibelelwano. Uphando lufumanise ukuba ukuchama ebhedini kuxhaphake kakhulu kubantwana abane-Attention Deficit Hyperactivity Disorder (ADHD). Kucingelwa ukuba zombini i-ADHD kunye nokuchama ebhedini kusenokunxulunyaniswa nokulibaziseka kophuhliso lwenkqubo ye-nervous central.
Le meko ikwabonakala nangabanye abantwana abane-'Autism Spectrum Disorder (ASD)'. Uphando olongezelelekileyo luyaqhubeka ngale nto.
Ingaba le yinto evela kwizizukulwana ngezizukulwana?
Ewe, oku kunokuba nefuthe kwisizukulwana. Ukuba umanzisa ibhedi ebusuku usengumntwana, umntwana wakho unokuba sengozini enkulu yokuba nale meko. Kwiimeko ezininzi, umntwana uya kwahlukana nalo mkhwa njengoko umzali ekhula.
Sifanele siye kugqirha nini?
Ukuba umntwana wakho uneminyaka eyi-6-7 ubudala kwaye usaqhubeka nokumanzisa ibhedi kwaye ukhathazekile/uneentloni kakhulu ngaloo nto, kulungile ukubona ugqirha wabantwana ukuze akunike iingcebiso.
Bona ugqirha ngokukhawuleza, ingakumbi ukuba unezi mpawu zilandelayo:
- Ukuba uziva ungcono okwethutyana uze uqale ukumanzisa ibhedi kwakhona (i-enuresis yesibini).
- Ukuba kukho ukutsha okanye intlungu xa uchama .
- Ukuba ubona igazi kumchamo wakho.
- Ukuba ngempazamo uchama kwiimpahla zakho emini .
- Ukuba urhona kakhulu (kusenokuba yimeko ye-sleep apnea).
- Ukuba unesisu esinzima.
Zithini iindlela zonyango kwaye oku kungalawulwa njani?
Akukho zisombululo "zomlingo" ezikhawulezayo koku. Kufuna umonde, umdla kumntwana wakho nakwakho, kunye nexesha.
Izinto onokuzenza ekhaya
1. Musa ukumgxeka umntwana wakho: Nokuba unomsindo xa umntwana wakho emanzisa ibhedi yonke imihla, musa ukumbonisa loo nto umntwana wakho. Akakwenzi ngabom oku. Ukumgxeka, ukumthethisa, okanye ukumqeqesha kuya kumlimaza ngakumbi.
2. Cacisa imeko kumntwana wakho: Menze aqonde ukuba oku akulona ityala lakhe kwaye oku kwenzeka nakwabanye abantwana abaninzi emhlabeni. Ukuba oku kwenzeka kuwe usengumntwana, yabelana ngaloo bali nomntwana wakho.
3. Musa ukuvumela abanye abantwana bahlekise ngawe: Yeka ukuhlekisa ngabanye abantakwenu ekhaya ngale nto.
4. Imikhwa yokulala: Sebenzisa indlu yangasese kabini ngaphambi kokuba ulale. Kanye xa ulungele ukulala, kwaye okwesibini ngaphambi kokuba ulale. Kwakhona, nciphisa ubuninzi bamanzi neziselo ozinika inja yakho emva kwentsimbi yesi-6 emva kwemini. Ingakumbi ziphephe iziselo ezine-caffeine, ezifana nekofu, iti, kunye ne-cola.
5. Ukuvuka ebusuku: Ngaphambi kokuba ulale, emva kweyure e-1-2 umntwana wakho elele, ungamvusa umse endlwini yangasese.
6. Khusela ibhedi yakho: Sebenzisa isigqubuthelo somatrasi esingangeni manzi ukuthintela umatrasi wakho ukuba ungamanzi.
7. I-Alarm yokuNcama ebhedini: Le yindlela ephucukileyo kancinci. Kukho i-sensor eqhotyoshelwe kwimpahla yangaphantsi yomntwana. Yenza ingxolo enkulu kwangoko xa ithontsi lomchamo lichithekile. Nangona abazali ngabona bavukayo ekuqaleni, emva kwexesha umntwana uyaqhela ukuvuka xa isandi sivakala. Ekuhambeni kwexesha, ingqondo iyaqeqeshwa ukuvuka xa isinyi sigcwele. Le yindlela ephumelelayo kubantwana abangaphezu kweminyaka esi-7 ubudala.
Unyango lwezonyango
Ukuba amayeza asekhaya awasebenzi, ugqirha wakho unokukunika amayeza.
- I-Desmopressin (DDAVP): Eli yeza lisebenza ngokunciphisa inani lomchamo oveliswa ngumzimba ebusuku.
- Amayeza e-anticholinergic (umz. i-Oxybutynin):Ezi ziphumza izihlunu zesinyi kwaye zonyusa amandla aso.
Khumbula, la mayeza afanele asetyenziswe kuphela phantsi kwengcebiso kagqirha . Kwakhona, imeko ingabuya xa uyeka ukuwasebenzisa. Ezi zizisombululo zexeshana nje.
Umyalezo Wokuya Ekhaya
- Ukuchama ebhedini yinto eqhelekileyo neqhelekileyo ebuntwaneni. Asikuko ukuba umntwana unetyala.
- Isizathu esiphambili soku kukulibaziseka ekukhuleni komzimba komntwana, kungekhona isifo esinzulu.
- Ungaze umgxeke, umhlwaye, okanye umhlazise umntwana wakho ngenxa yoku. Endaweni yoko, mqonde kwaye umxhase.
- Ukuba umntwana wakho uqala ukumanzisa ibhedi kwakhona emva kokuba ephilile okwethutyana, okanye unezinye iimpawu ezifana nokutsha okanye ukopha xa echama , qiniseka ukuba ubona ugqirha .
- Kuthatha umonde nexesha ukuze woyise le meko. Uthando lwakho kunye nenkxaso yakho ziya kuba ngamandla amakhulu omntwana.
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