Qhov teeb meem no yog ib txwm - txhua tus neeg tau hnov, tab sis ob peb tus neeg paub. Lo lus "enuresis" yog Greek thiab lus txhais tau tias "tso zis, pissing." Raws li muaj cov tsos mob, txoj hlab ntwg tsis tuaj yeem tuaj yeem tshwm sim nyob rau ntau qhov pathologies. Tab sis, "night enuresis" yog ib qho kab mob uas tsis ywj pheej tshwj xeeb los ntawm kev tso zis rau cov menyuam uas muaj hnub nyoog 4 xyoos thiab laus dua. Qhov tseeb tiag yog tias qhov kev tso zis tawm ntawm kev zais zis thaum sau cov zais zis yog tsim los ntawm 3-4 xyoo.
Qhov feem ntau yooj yim yog lub enuresis ntawm preschool cov menyuam (10%). Tub muaj feem ntau dua cov ntxhais (12% thiab 7%). Hauv thawj lub tsev kawm ntawv, qhov muaj feem cuam ntawm txoj hlab ntwg yog 4% ntawm menyuam yaus, thiab tom qab 15 xyoos tsuas yog 0.5%.
Yog li, twb yog los ntawm lub ntsiab lus nws tus kheej nws yog tseeb tias cov me nyuam qhov kev xeeb txawm yog nyob hauv kev sib txuas nrog txoj kev pw tsaug zog. Hauv cov neeg nws ntseeg hais tias yog koj tsaug zog ntau dhau lawm koj tuaj yeem tsis hnov "hnov" txoj kev xav tso zis. Qhov kev sib txuas lus yooj yim ntawm enuresis, tseeb, yog nrog lus sib sib zog nqus tsaug zog. Avicenna kuj taw rau qhov no. Tab sis thov! Yog hais tias cov teeb meem ntawm lub zais zis tsis mus txog ntawm kev tsaug zog, vim li cas peb tsis niaj zaus dhia mus txog ib nrab ntawm qhov tsaus ntuj txhua zaus thiab maj mus rau hauv chav dej? Nws hloov tawm hais tias lub txaj ntub tsis yog tsuas yog ib qho "txaj muag rau tag nrho lub zos", tab sis kuj yog ib txoj kev qub ntawm kev tswj tus kheej, ua haujlwm tawm los ntawm evolution. Raws li cov ntaub ntawv niaj hnub, enuresis yog npaj los ntawm qhov hloov cov theem ntawm kev pw tsaug zog.
Ntau leej niam pom tias lawv cov me nyuam tso zis ib yam nkaus li ua ntej sawv los yog tom qab ntawd. Ntawd yog, rau ib tug me nyuam, kev txaj muag yog ib qho teeb meem ntawm kev tsim los ntawm kev txhawb siab, tsis muaj qhov nws yuav tsis tau sawv! Raws li lub paj hlwb matures thiab cov kab mob lub cev muaj zog, qhov xav tau kev txhawb zog xws li ploj. Raws li kev txheeb cais, thaum muaj hnub nyoog ib nrab xyoo 87% ntawm cov menyuam noj qab nyob zoo tso zis hauv txaj thaum nruab hnub. Hauv ib xyoos ntau tshaj 2/3 ntawm cov me nyuam tsaug zog tag nrho txhua hmo los yog slovenly episodically, tsis pub tshaj ib zaug ib lub lim tiam.
Yog li, lub cev nqaij daim tawv tuaj yeem tshwm sim kom txog thaum nws tsim nyog rau tus me nyuam lub cev kom them nyiaj rau qhov kev paub tsis meej ntawm qhov ntswg. Nws zoo li tsis zoo thaum cov niam txiv thiab niam pib khav li cov neeg txheeb ze, cov phooj ywg thiab cov neeg uas paub tias vim lawv txoj kev kawm ntawv lawv cov me nyuam kawm ntawv ib xyoos-tsuas yog "pissed" mus rau hauv lub txaj thaiv npoo. Qhov tseeb, ua tsaug rau kev pab ntawm ib tus neeg lub neej, ib tug yuav tsum tsis txhob nws tus kheej, tab sis qhov. Tej zaum biology, uas yog, tus kab mob hauv lub cev, kuj muaj feem xyuam rau kev sib deev sib txawv nyob rau hauv cov kev mob ntawm cov hlab ntsha. Hauv kuv lub tswv yim, qhov qis tshaj ntawm cov poj niam hauv lub cev piv rau cov tub ntxhais hluas yog vim qhov tseeb tias poj niam lub cev hlob thiab loj hlob sai dua tus txiv neej lub cev. Tsis mus tob rau hauv qhov kev kawm, ib tug muaj peev xwm xav tias lub xub ntiag ntawm lub ntsiab lus tob hauv embedded nyob rau hauv xws li ib tug biological ntaus ntawv ntawm tus txiv neej.
Txhua tus me nyuam tso zis rau hauv lub txaj pw hauv nws tus kheej.
Daim ntawv yoojyim. Nws yog qhov tsis zoo, tab sis qis heev (2-5 zaug hauv ib lub lis piam) qhov teeb meem ntawm kev ntxub ntxaug hauv tus me nyuam uas nws tsis tuaj yeem vam khom tsis tau haus kua qaub. Kev pw tsaug zog feem ntau yog sib sib zog nqus - tom qab so, tus me nyuam tseem tsaug zog. Kev tso zis tsis nto feem ntau tshwm sim nyob rau thawj 2-3 teev ntawm kev pw tsaug zog. Feem ntau, kev mob nyhav yog tshwm sim.
Neuropathic enuresis tsim tawm tsam tus keeb kwm yav dhau ntawm tus menyuam muaj teeb meem nrog kev hnyav nce nrog excitability thiab kev qaug zog ntawm txoj hlab ntsha. Qhov ua rau lub sijhawm tsis tuaj yeem yog nyob ntawm qhov qaug dej qaug cawv. Neurological "microsymptomatics" yog yam ntxwv. Feem ntau cov me nyuam yaus hnub no nrog hmo ntuj. Cov me nyuam-neuropaths feem ntau raug kev txom nyem los ntawm khaub thuas thaum muaj hnub nyoog. Tiv thaiv tsis pom yav dhau los ntawm cov kab mob sib kis cov kab mob, tsis yeem tiv thaiv thiab nquag tso zis tsis yog thaum hmo ntuj, tab sis kuj yog thaum nruab hnub.
Cov ntaub ntawv neurotic yog cov tsis tshua muaj tshwm sim thiab tshwm sim hauv ib qho tseem ceeb ntawm lub hnub nyoog tseem ceeb (3, 5, 7 xyoo) raws li cov tshuaj tiv thaiv kev mob nyhav thiab / lossis kev nyuaj siab loj. Raws li txoj cai, cov me nyuam muaj kev mob txob txob txob tsis txob siab rau, muaj peev xwm, kev quaj ntsuag, kev pw tsaug zog, kev ntshai, hmo ntuj kev phem, yeeb yam, thiab lwm yam. Nrog rau kev nyuab siab ntawm kev xav ntawm psychotrauma, qhov kev pheej hmoo ntawm kev tua tus kheej nce. Thaum qhov kev siv ntawm "kev mob siab" hauv tus me nyuam tus ntsuj plig nyob hauv, qhov ntau zaus ntawm "ntub" hmo tsawg zuj zus.
Peb yuav kho los yog cia peb nyob?
Nyob rau hauv kev kho mob xyaum, hmo ntuj thiab hnub tsis pub tus me nyuam raug txiav txim siab yog ib qho kev mob tshwm sim ntawm kev tsis paub ntawm lub paj hlwb. Yog li, cov kws kho mob feem ntau yuav tsum tau tos kom txog thaum tus me nyuam nws tus kheej "outgrows" qhov teeb meem no. Tab sis yog hais tias tus enuresis tshwm sim ntau dhau los, los yog tus me nyuam thiab nws niam nws txiv ua rau qhov tseeb ntawm qhov tsis kam muab ntau dua, lawv pib kho, tsom feem ntau ntawm kev coj tus cwj pwm ntawm lub paj hlwb thiab cov metabolism.
Ua ntej tshaj, koj yuav tsum kho koj cov khoom noj thiab txoj kev ua neej. Mis nyuj haus thiab khoom noj khoom haus zoo dua, nrog ntau nplua mais ntawm cov txiv hmab txiv ntoo thiab tsuas siv kua thiab ntsev xwb. Tom qab 18-19 tsaus ntuj, cov dej haus tsis tshua sib cais, tshwj xeeb yog tshuaj yej thiab kas fes. Cov chav kawm ua kom zoo, ua hmo ntuj ua ntej pw tsaug zog zoo rau kev noj qab haus huv. Yog tias tus me nyuam tsis tshua siv sij hawm nyob rau hauv pem hauv ntej ntawm lub TV thiab khoos phis tawj, nws yuav pab tau nws.
Ntawm qhov tseem ceeb kuj yog kev txhim kho ntawm kev xav ntawm lub hlwb nyob hauv tsev neeg. Tus me nyuam tsis tas ua tim khawv txog "kev sib cav sib ceg" ntawm niam txiv. Leej txiv thiab leej niam yuav tsum ua tus qauv zoo, qhia lawv txoj kev hlub, mob siab rau lub sijhawm muaj nqi thiab ua siab ntev.
Los ntawm cov tshuaj rau kev kho ntawm ib tug me nyuam nrog bedwetting feem ntau siv tshuaj ntsuab herbal. Nrog "nervousness", grasses nrog antidepressant (St. John lub wort) thiab calming action (valerian, motherwort, cudweed) yuav ua hauj lwm. Ib qho zoo ntawm kev noj qab haus huv muaj cov kev noj haus niaj hnub no: finely dispersed nplej germ, malt thiab zaub vitamin complexes nrog rosehip, liab thiab dub chokeberry. Ntawm cov nroj tsuag, cov nyhuv uas tsis tau paub tseeb los ntawm kev tshawb fawb, tab sis tau siv rau centuries hauv cov neeg rau kev kho mob ntawm enuresis, yuav tsum ua ntawm blackberries, raspberries, cranberries, blueberries, dill, croquets, thiab kub.
Qee lub sij hawm cov tshuaj siv yeeb tshuaj siv: antidepressants amitriptyline thiab imipramine. Thaum muaj teebmeem ntawm kev puas siab puas ntsws, tsev neeg cov kws kho mob tau pom, uas yog tsis yog nrog tus menyuam nkaus xwb, tabsis tseem nrog cov neeg loj.