Ukuthambisa Umbhede? Izimpawu, Izimbangela, Nokwelapha

Ukuthambisa umbhede, okuthiwa futhi yi-enuresis yasebusuku, yilapho umuntu ethambisa ngengozi ebusuku. Lokhu kwenzeka ngoba umzimba awukaqeqeshwa ukuvuka lapho i-bladder izele, noma i-bladder ikhiqiza amanzi amaningi kunalokho engakwazi ukuwagcina ebusuku.

Kuyinto evamile kubantwana, futhi kuvamile kunalokho obungacabanga. Abantwana abaningi bakhula ngokwemvelo ngokuqeda ukuthambisa umbhede njengoba imizimba yabo ikhula, nakuba abanye bangadinga usizo olunye endleleni.

Ziyini izimpawu zokuthambisa umbhede?

Isimpawu esiyinhloko ukumane nje uvuke ulele ezinqweni noma ezingutsheni ezimanzi. Kubantwana abaningi, lokhu kwenzeka ngaphandle kokwazi lutho ebusuku.

Ungase uqaphele ukuthi ingane yakho iyalala kakhulu futhi ayivuki ngisho nalapho i-bladder izele. Abanye abantwana bangase babe nezinkambo ezivame kakhulu zokuya ekhaya emini noma kubonakale sengathi banamandla amancane e-bladder kunabanye abalingana nabo.

Kukhona lokho, uma ukuthambisa umbhede kuqala ngokuzumayo ngemuva kwezinyanga zokulala komile, noma uma kuza nezinye izimpawu ezinjengokuzwa ubuhlungu, ubushushu, noma ukunxanela okukhulu, kufanele ubuze udokotela wakho ukuze uqede noma yiziphi izinkinga ezingaphansi.

Ziyini izinhlobo zokuthambisa umbhede?

Ukuthambisa umbhede oyinhloko kusho ukuthi ingane ayikaze ibe nezinsuku ezomile isikhathi esingaphezu kwezinyanga eziyisithupha. Lolu uhlobo oluvamile futhi ngokuvamile kwenzeka ngoba umzimba wengane usathuthukisa ukulawula i-bladder.

Ukuthambisa umbhede okwesibili kwenzeka lapho ingane iqala ukuthambisa umbhede futhi ngemuva kokuba ihlale iomile izinyanga eziyisithupha. Lolu hlobo aluvamile futhi lungase lubonise isimo sezempilo, ukucindezeleka ngokomzwelo, noma ukushintsha kokuphila okudinga ukunakekelwa.

Yini ebangela ukuthambisa umbhede?

Ukuthambisa umbhede ngokuvamile kwenzeka ngoba umzimba wengane usafunda ukuhlanganisa izinqubo eziningana ezinkulu ebusuku. Cabanga ngakho njengezingxenye ezahlukene zesimiso ezidinga isikhathi sokuhlangana kahle.

Nazi izizathu ezivamile ngemuva kokuthambisa umbhede:

• Ukuthuthukiswa kwe-bladder okulile: I-bladder ingase ingakabi khulu ngokwanele ukugcina amanzi ubusuku bonke
• Izindlela zokulala ezinzulu: Abanye abantwana balala kakhulu kangangokuba abazizwa isignali yokuthi i-bladder yabo izele
• Ukukhiqizwa kwamahomoni: Umzimba ungase ungakabi ukhiqiza i-antidiuretic hormone (ADH) eyanele ukunciphisa ukukhiqizwa kwamanzi ebusuku
• Umlando womndeni: Uma abazali babe nezinkinga zokuthambisa umbhede, abantwana banamathuba amaningi okuhlangabezana nayo futhi
• Ukuvimbela: Ukuqina kwesisu kungacindezela i-bladder futhi kunciphisa amandla ayo

Ngokungavamile, ukuthambisa umbhede kungase kuhlangene nezinye izimo zezempilo ezinjengokuqina kwe-urinary tract, isifo sikashukela, noma izinkinga zokulala. Ukucindezeleka ngokomzwelo okuvela ekuthuthukeni okukhulu kokuphila kungase futhi kubangele ukuthambisa umbhede okwesikhashana.

Into ebalulekile okumele uyikhumbule ukuthi ukuthambisa umbhede akunamuntu onecala. Abantwana abaningi badinga isikhathi esengeziwe sokuba imizimba yabo ikhule futhi ihlanganise lezi zinqubo zobusuku ngokwemvelo.

Nini okumele ubheke udokotela ngokuthambisa umbhede?

Kufanele ucabange ukuya kudokotela wengane yakho uma ukuthambisa umbhede kuqhubeka ngaphezu kweminyaka engu-7, noma uma ingane yakho iqala ngokuzumayo ukuthambisa umbhede ngemuva kokuba ihlale iomile. Lezi zimo zingase zizuze ekuqondisweni noma ekulingweni kwabachwepheshe.

Kuyisikhathi sokuthintana uma ukuthambisa umbhede kuza nezinye izimpawu ezikhathazayo. Izibonakaliso ezibomvu zihlanganisa ubuhlungu ngesikhathi sokuthambisa, igazi emanzini, ukunxanela okukhulu, ubushushu, noma ukushintsha okungazelelwe kwemikhuba yokuthambisa emini.

Ngaphezu kwalokho, uma ukuthambisa umbhede kubangela ukucindezeleka okukhulu ngokomzwelo kwingane yakho noma kuchaphazela ukulungela kwayo ukuhlanganyela ekuhlaleni noma ekuhambeni esikoleni, umhlinzeki wezempilo anganikeza amasu nokwesekwa ukuze asize wonke umuntu azizwe ekhululekile.

Ziyini izimbangela zengozi zokuthambisa umbhede?

Izici eziningana zingenza ukuthambisa umbhede kube lula kakhulu, nakuba ukuba nalezi zimbangela zengozi akusho ukuthi ingane yakho izokuhlangabezana nayo ngokuqinisekile. Ukuziqonda kungakusiza ukuba ubekezelele isimo ngesineke nangethemba eliqondile.

Izimbangela zengozi ezivamile zihlanganisa:

• Ubudala nobulili: Abantwana besilisa banethuba elingaphezulu kabili kunabesifazane lokuthambisa umbhede, futhi kuvamile phakathi kweminyaka engu-4-6
• Umlando womndeni: Uma omunye umzali ebe nezinkinga zokuthambisa umbhede, kunethuba elingaba ngu-40% lokuthi ingane yakhe izoba nayo futhi
• Ukulala okujulile: Abantwana abalala kakhulu bangase bangavuki lapho i-bladder ithumela izibonakaliso
• Ukulibaziseka kokuthuthuka: Abantwana abanezingqinamba zokuthuthuka noma zokufunda bangase bathathe isikhathi eside ukufeza ukumile ebusuku
• Ukucindezeleka ngokomzwelo: Ukushintsha okukhulu kokuphila njengokuhamba, abafowabo abasha, noma ukuqala esikoleni kungase kubangele ukuthambisa umbhede okwesikhashana

Isimo sezempilo ezinjengokuqina kwesisu, ukuqina kwe-urinary tract, noma isifo sokuqaphela ukungasebenzi kahle (ADHD) kungase futhi kukhulise amathuba okuthambisa umbhede. Noma kunjalo, abantwana abaningi abanezi zimbangela zengozi bazokukhula ngokwemvelo ngokuthambisa umbhede njengoba bekhula.

Ziyini izinhlanganisela ezingase zenzeke zokuthambisa umbhede?

Izinhlanganisela zomzimba zokuthambisa umbhede ngokuvamile zincane futhi ziphatheka kalula. Ukukhathazeka okuyinhloko ngokuvamile kuyisicanucanu sesikhumba esivela ekuxhumaneni isikhathi eside nezingubo ezimanzi noma imibhede.

Kodwa-ke, umthelela ngokomzwelo ungase ube mkhulu uma ungaphathwa ngokucophelela. Abantwana bangase bazizwe behluleka, behluleka, noma babe nokuzithemba okuphansi, ikakhulu uma bebhekene nokuhleka kubafowabo noma oontanga.

Nazi izinhlanganisela ezingase zenzeke okumele uzazi:

• Izinkinga zesikhumba: I-rashes noma ukucasuka okuvela ezingutsheni ezimanzi nemibhede
• Ukuthukuthela kokulala: Ukuvuka ulele kungaphazanyiswa ukulala okuhle komndeni wonke
• Ukukhathazeka komphakathi: Ukwesaba ukuthambisa umbhede kungase kwenze abantwana bagweme ukuhlala noma ukuhamba
• Ukucindezeleka komndeni: Ukwanda kwezingubo nokuthukuthela ebusuku kungadala ukucindezeleka ekhaya
• Izinkinga zokuzihlonipha: Abantwana bangase bazizwe behlukile koontanga babo noma bazisole

Izindaba ezinhle ukuthi ngokuphathwa okuwusizo nokuphathwa okuqondile, lezi zinhlanganisela ziyavikeleka ngokuphelele. Ukudala indawo engenamanga nokuqondisisa izixazululo ezisebenzayo kusiza abantwana ukuba bagcine ukuzithemba kwabo ngenkathi imizimba yabo iqhubeka ikhula.

Ukuthambisa umbhede kungavikeleka kanjani?

Nakuba ungakwazi ukunciphisa ngokuphelele ukuthambisa umbhede njengoba kusebenza kakhulu ngokuthuthuka, amasu athile angase asekele intuthuko yengane yakho ekuphumeni ebusuku. Lezi zindlela zigxile ekudaleni izimo ezinhle kakhulu zokukhula kwemvelo.

Nazi izindlela zokuvimbela eziwusizo:

• Sebenzisa imikhuba yokuthambisa: Khuthaza ukuphazamiseka kwansuku zonke kwe-bathroom futhi usebenzise njalo i-toilet ngaphambi kokulala
• Qapha ukungena kwamanzi: Nciphisa iziphuzo ihora eli-1-2 ngaphambi kokulala, kodwa uqinisekise ukuthi unamanzi amaningi usuku lonke
• Bhekana nokuvimbela: Ukudla okunamanzi amaningi kanye nokungenisa amanzi okwanele kusiza ukuvimbela izinkinga zesisu ezingase zichaphazele amandla e-bladder
• Dala izikhathi zokulala ezihlala njalo: Izinhlelo zokulala ezihlala njalo zisekela ukuthuthuka kwe-bladder enempilo
• Sebenzisa isivikelo sasebusuku: Imibhede ye-waterproof kanye nezingubo zangaphansi ezimunca amanzi zinciphisa ukucindezeleka nokucwengwa

Khumbula ukuthi ukuvimbela akuwona umgomo wokuphikelela, kodwa kunokusekela ukuthuthuka kwengane yakho kwemvelo. Abanye abantwana bazofinyelela ebusuku obuomile ngokushesha kunabanye, futhi lokho kuyinto evamile.

Ukuthambisa umbhede kuhlonzwa kanjani?

Ukuhlonzwa kokuthambisa umbhede ngokuvamile kulula futhi kusekelwe emlandweni wengane yakho nezimpawu. Udokotela wakho uzokubuza ngokuvame kokulala okunamanzi, umlando womndeni, nanoma yiziphi ezinye izimpawu ingane yakho engase ibe nazo.

Umhlinzeki wezempilo uzofuna ukwazi ukuthi ukuthambisa umbhede kuqale nini, ukuthi ingane yakho iye yaba nezinsuku ezomile, nokuthi kukhona yini izibonelo ozibonile. Bazokubuza futhi ngemikhuba yokuthambisa emini nokuthuthuka okuphelele.

Ezimweni eziningi, azikho izivivinyo ezikhethekile ezidingekayo. Noma kunjalo, udokotela wakho angase akhuthaze ukuhlolwa okulula kwamanzi ukuze ahlole ukutheleleka noma ezinye izinkinga, ikakhulu uma ukuthambisa umbhede kuqale ngokuzumayo noma kuza nezinye izimpawu ezinjengokuzwa ubuhlungu noma ubushushu.

Ngesinye isikhathi, ukugcina idayari yase-bathroom amasonto ambalwa kungasiza ukubona izibonelo. Lokhu kuhilela ukulandelela ukungenisa amanzi, ukuvakasha kwe-bathroom, nezinsuku ezimanzi noma ezomile ukuze unike udokotela wakho isithombe esicacile salokho okwenzekayo.

Iyini impilo yokwelapha kokuthambisa umbhede?

Ukwelashwa kokuthambisa umbhede ngokuvamile kuqala ngesineke namasu okuwusizo, njengoba abantwana abaningi bekhula ngokwemvelo. Indlela ihlala ixhomeke ebudaleni bengane yakho, ukuthi ukuthambisa umbhede kuvela kangakanani, nokuthi kubangela ukucindezeleka ngokomzwelo yini.

Emindenini eminingi, ukulungiswa kokuphila okulula nokukhuthazwa kwanele. Noma kunjalo, uma ukuthambisa umbhede kuqhubeka ngaphezu kweminyaka engu-7 noma kuchaphazela kakhulu ikhwalithi yokuphila kengane yakho, ukwelashwa okwengeziwe kungasiza.

Nazi izinketho zokwelapha eziyinhloko:

• Amasu okwenza: Izinhlelo zokuvuza, ukuhlela i-bathroom, kanye nokuzivocavoca kokufundisa i-bladder
• I-alarms yokuhlanza: Izibonakaliso ezikhethekile ezivusa ingane lapho kutholakala ukuhlanza, okusiza ekuqeqeshweni ubuchopho ukuphendula izibonakaliso ze-bladder
• Imithi: Ezimweni ezithile, odokotela bangase banikeze imithi eyanciphisa ukukhiqizwa kwamanzi ebusuku noma esiza i-bladder ukuba ibeke okuningi
• Ukuqeqeshwa kwe-bladder: Ukuzivocavoca ukuze kukhulise amandla e-bladder ngokuhamba kwesikhathi phakathi namahora emini

Ukwelashwa okuphumelelayo kakhulu kuhlanganisa amasu asebenzayo ngokusekela ngokomzwelo. Khumbula, ukujezisa noma ukunyenyisa akukaze kusize futhi empeleni kungenza ukuthambisa umbhede kube sibi ngokwanda kokucindezeleka nokukhathazeka.

Indlela yokuphatha ukuthambisa umbhede ekhaya?

Ukuphatha ukuthambisa umbhede ekhaya kugxile ekudaleni indawo enesekelo ngenkathi kuncishiswa ukuthukuthela kubo bonke. Ikhona ukwakha imikhuba esebenzayo eyenza ukuhlanza kube lula futhi kusize ingane yakho izizwe ikhululekile.

Qala ngezinyathelo zokulinda ezinciphisa umthelela wezinsuku ezimanzi. Imibhede ye-waterproof, ama-pads omibhede amunca amanzi, kanye nezingubo zangaphansi ezimunca amanzi zingasiza wonke umuntu alale kangcono ekwazi ukuthi ukuhlanza kuzoba lula.

Nazi izindlela zokuphatha ekhaya ezisebenzayo:

• Lungisa igumbi lokulala: Sebenzisa abavikeli bomibhede be-waterproof futhi ugcine izinto ezingaphezulu nemibhede eduze ukuze kwenziwe ukushintsha okusheshayo
• Dala imikhuba elula yokuhlanza: Hlanganyela ingane yakho ekuhlanzweni okufanele ubudala ngaphandle kokwenza kube njengokujezisa
• Gcina ukuxhumana okuhle: Qinisekisa ingane yakho ukuthi ukuthambisa umbhede kuyinto evamile futhi akuyona icala layo
• Sebenzisa imikhuba yase-bathroom: Ukuphazamiseka kwansuku zonke kwe-bathroom kanye nokusebenzisa njalo i-toilet ngaphambi kokulala
• Cabanga ngemikhiqizo emunca amanzi: I-pull-ups yasebusuku noma izingubo zangaphansi ezimunca amanzi zingase zinikeze ukhuseleko ekuhlaleni nasekuhambeni komndeni

Khumbula ukuthi ukuzinza nesineke yizikhali zakho ezinhle kakhulu. Gubha izinsuku ezomile ngaphandle kokubeka ingcindezi kwingane yakho, futhi uphathe izinsuku ezimanzi ngokungathí sina njengento nje eyenzekayo ngenkathi umzimba wayo usafunda.

Kufanele ulungiselele kanjani i-appointment yakho yasedokotela?

Ukulungiselela ukuvakasha kwakho kudokotela kusiza ukuqinisekisa ukuthi uthola isiqondiso esiwusizo kakhulu sesimo sokuthambisa umbhede sengane yakho. Ukuqoqa ulwazi ngaphambi kwesikhathi kuvumela umhlinzeki wezempilo yakho ukuthi aqonde kangcono iphethini nezidingo ezikhethekile zengane yakho.

Qala ngokulandelela imikhuba yase-bathroom yengane yakho okungenani isonto elilodwa ngaphambi kwe-appointment. Qaphela izinsuku ezimanzi nezomile, izibonelo zokungenisa amanzi, nanoma yiziphi ezinye izimpawu ozibonayo.

Nanku okumele ukulethe nokuxoxa ngakho:

• Idayari yase-bathroom: Irekhodi lezinsuku ezimanzi/ezomile, izinhlekelele ze-daytime, kanye nezibonelo zokungenisa amanzi
• Umlando womndeni: Ulwazi mayelana nokuthambisa umbhede kubazali noma abafowabo
• Izimpawu zamanje: Noma yiluphi ubuhlungu, ubushushu, ukunxanela okukhulu, noma ukushintsha kwemikhuba yase-bathroom
• Ukwelashwa kwangaphambili: Lokho osele uzama kanjani ingane yakho iphendule
• Ukuhlola umthelela: Indlela ukuthambisa umbhede kuchaphazela imizwelo yengane yakho, ukulala, noma imisebenzi yomphakathi

Unganqikazi ukubuza imibuzo mayelana nezinketho zokwelapha, izikhathi ezilindelekile, noma amasu okuqondisa izimo zomphakathi. Udokotela wakho anganikeza isiqondiso esiqondene nesimo sakho esikhethekile nesigaba sokuthuthuka.

Iyini into ebalulekile mayelana nokuthambisa umbhede?

Ukuthambisa umbhede kuyinqubo evamile yokuthuthuka kwabantwana okuthi abantwana abaningi bakhule ngokwemvelo njengoba imizimba yabo ikhula. Akuyona uphawu lobuvila, izinkinga zokuziphatha, noma ukukhuliswa okubi, kodwa kusho nje ukuthi umzimba wengane yakho udinga isikhathi esengeziwe sokuhlanganisa ukulawula i-bladder ebusuku.

Into ebaluleke kakhulu ongayenza ukusondela ekuthambiseni umbhede ngesineke, ukuqonda, kanye nezixazululo ezisebenzayo. Ukudala indawo enesekelo kusiza ingane yakho ukuba igcine ukuzithemba ngenkathi umzimba wayo uqhubeka uthuthukisa lezi zinqubo ezinkulu zobusuku.

Ngesikhathi ulinde ukuxazululwa kwemvelo, gxila ekuphatheni izici ezisebenzayo nokukhuselwa kokulunga komzwelo kengane yakho. Abantwana abaningi bafinyelela ebusuku obuhlala buomile ngeminyaka engu-7, nakuba abanye bangadinga isikhathi eside, futhi lokho kulungile ngokuphelele.

Khumbula ukuthi ukusekela okuphumelelayo kuhlanganisa amasu asebenzayo ngokukhuthaza ngokomzwelo. Ngokuqondisa okulungile, ukuthambisa umbhede kuba yisigaba esiphatheka kalula umndeni wakho ongakwazi ukuhamba nalo ngokuzethemba nokunakekela.

Imibuzo evamile ebuzwa mayelana nokuthambisa umbhede

Q1: Ngubani ubudala engingakhathazeka ngokuthambisa umbhede?

Abantwana abaningi bayeka ukuthambisa umbhede ngokwemvelo phakathi kweminyaka engu-3-5, kodwa kusaphathwa njengokuvamile kuze kube eminyakeni engu-7. Kufanele ucabange ukuya kudokotela wengane yakho uma ukuthambisa umbhede kuqhubeka njalo ngaphezu kweminyaka engu-7, noma uma ingane yakho iqala ngokuzumayo ukuthambisa umbhede ngemuva kokuba ihlale iomile izinyanga eziningi.

Q2: Ukunciphisa amanzi ngaphambi kokulala kuzoqeda ukuthambisa umbhede?

Ukunciphisa amanzi ihora eli-1-2 ngaphambi kokulala kungasiza ekuqedeni inani lamanzi akhiqizwayo ebusuku, kodwa ngeke kuvimbele ngokuphelele ukuthambisa umbhede ezimweni eziningi. Ikhona ukuqinisekisa ukuthi ingane yakho ihlala inamanzi amaningi usuku lonke ngenkathi iqaphela ukungenisa amanzi kwasebusuku. Ungalokothi uvincele amanzi kangangokuba ingane yakho ibe nomfutho.

Q3: I-alarms yokuhlanza isebenza ngempela?

I-alarms yokuhlanza ingaba nempumelelo kakhulu, ngezinga lempumelelo elingu-60-70% uma isebenza njalo izinyanga eziningi. Lezi zibonakaliso zisiza ekuqeqeshweni ubuchopho bengane yakho ukubona izibonakaliso ze-bladder ngesikhathi sokulala. Noma kunjalo, zidinga isineke nokuzinza, futhi zisebenza kangcono kubantwana abakhuthazelwe ukufinyelela ebusuku obuomile futhi bangase bavuke ku-alarm.

Q4: Ukuthambisa umbhede kuyifa?

Yebo, ukuthambisa umbhede ngokuvamile kuhamba emindenini. Uma omunye umzali ebe nokuthambisa umbhede njengengane, kunethuba elingaba ngu-40% lokuthi ingane yakhe izoba nayo futhi. Uma bobabili abazali babe nezinkinga zokuthambisa umbhede, amathuba ayanda cishe ku-75%. Le ngxenye ye-genetic iyasiza ekuchazeni ukuthi kungani abanye abantwana bathatha isikhathi eside ukufeza ukumile ebusuku kunabanye.

Q5: Kufanele ngivuse ingane yami ebusuku ukuze iye e-bathroom?

Ukuphakamisa noma ukuvusa ingane yakho ukuze iye e-bathroom kungasiza ukugcina umbhede omile isikhathi esifushane, kodwa akuyifundi umzimba wayo ukubona izibonakaliso ze-bladder ngokuzimela. Uma ukhetha le ndlela, qiniseka ukuthi ingane yakho iphapheme ngokuphelele futhi isebenzisa i-bathroom ngokwazi. Noma kunjalo, ochwepheshe abaningi bakhuthaza ukuqonda ukuthuthuka kwemvelo kunokuvuka okuhleliwe ebusuku.