What is Night Enures? What are the reasons for Enurbing? As Enuresis manifests itself? How Enurrez is treated? Answers to these questions you will find in the article.
Content
Night Eninur
Urine incontinence during sleep is an uncontrollable, involuntary urine omission during night sleep.
Usually, the night enuresis detect, starting from 5 years. With age, as a rule, the frequency of the Enurisy decreases and recovery comes.
In 5 years, ENUCHER suffers about 15-18% of boys and 8-10% of girls, by 10 years, ENUREREZ is saved only by half of them. To the publity period (13-14 years old) Enuresis continue to suffer only 2.5% of children, and after 15 years only 1.5-2%. The forecast of recovery is better with primary enuresis. Therefore, if at the age of 5-7 years, the primary enumenet is 75-80% of cases, and secondary - 15-20% of cases, then after 12 years their frequency is aligned.
Night Enurrez can first appear in old age - it is detected by about 3% of women, and 1% of men over the age of 65 years old, more often in patients with heart failure or regularly receiving sleeping equipment.
Causes of Enurraw
Night Enurperse can be primary or secondary.
Primary enuresis is observed from birth and is allegedly caused by slow ripening of the urination regulation system. Secondary called Enurrez, who developed a few months after birth. Patients with primary enuresis often marked family history. If both parents suffered from Enuresum, then the likelihood of its development in a child reaches 80%, if Enurperse suffered only one parent - 45%.
Secondary enuresis are often associated with psychological stress or frequent concomitant diseases. The cause of secondary enures can also be the disease of the urinary tract, the anomalies of the spinal cord. Enuresis more often in children with low weight at birth, psychomotor development delay, mental retardation.
In general, the night Enoscience is considered as a state resulting from the interaction of several genetic, psychological, neurological, urological, endocrine factors whose share is different.
Manifestation Enurraw
Part of children with Enuresum marks an unusually deep sleep, however, in general, the night enuresis is not associated with the depth of sleep or some kind of a certain phase of sleep. Nevertheless, night enuresis is often combined with night fears and sitting. Sometimes Enuresum precedes short-term awakening, but it does not happen more often.
Traditionally, much attention is paid to the mental, emotional state of children, however, any specific psychological deviations in patients with enuresis are not detected. Psychological problems are often secondary and are reactive. Intellectual development in the overwhelming majority of patients with enuresis corresponds to the norm.
Treatment Enurraw
Universal effective means of treating night enurisha. Diary in which the child notes «Dry night», Evening restriction of fluid, fruits and vegetables containing a large amount of water, compulsory urination before bedtime, a favorable family atmosphere (without excessive fixation on a defect), the use of a special device («alarm clock») which wakes up a child when the first droplets of urine appears, often contributes to the gradual cessation of enuresis. Expedient exercises for training arbitrary control over urination.
If necessary, use drugs (desmopressin, jriptan, antidepressants).
