Enuresis in children is one of the most serious diseases in pediatrics and pediatric neurology, which is characterized by constant involuntary urination during the day or during sleep. Enuresis - as a neurological disease occurs in both adults and children. But if in adults it occurs due to injuries, tumors or intoxication of the central nervous system, then enuresis in children is an idiopathic disorder of the central nervous system. Involuntary urination occurs in approximately 20% of preschool children, that is, every fifth child has some kind of bladder problems. Bed wetting is most prevalent , and boys are more susceptible to the disease than girls.
It should be emphasized that the genetic factor is also the cause of involuntary urination. Researchers found that in 75% of children, immediate relatives also suffered from enuresis.
Distinguish between day and night enuresis in children, treatment of the latter is much more successful. Neuropathologists also identify early enuresis that occurs after acquiring control of the urination process, and late enuresis - at the age of 5 - 7 years. By the way, late urinary incontinence is accompanied by severe emotional and behavioral disorders.
Is it possible to avoid the occurrence of such a serious ailment as enuresis in children? As you know, until about a year and a half old, the child needs to be trained in bladder control. This process is gradual. Parents should take this issue very responsibly: when the child is three months old, you need to start planting it on the pot (but it is better to keep it above the sink) at regular intervals so that the child learns to restrain urination.
Unfortunately, over the past decades there has been an increase in the number of cases of the so-called "diaper enuresis". The fact is that young parents prefer to constantly wear diapers on their baby. On the one hand, this progressive invention is incredibly useful - the baby's skin is always clean and dry, and on the other hand, the baby is not able to learn how to urinate properly, the baby does not know how to inform parents in time about what they want to use the toilet.
Treatment of childhood enuresis
Of course, everyone who has heard about this unpleasant disease, asks the question: "How to treat enuresis in children?" First of all, treatment should be carried out under the supervision of a neurologist or psychiatrist. Only they can establish the cause of the disease and conduct a competent examination, which includes various types of diagnostics.
In no case should you scold the child or shame him, as this can cause him deep trauma and scare the baby. Parents should make sure that the child goes to the toilet before going to bed, and also explain to him that it is necessary to ask for the toilet on time. It is also necessary to limit fluid intake at bedtime and wake the baby at night to empty the bladder.
Of course, you can not do without serious complex therapy with the appointment of drug treatment. In order to cure enuresis in children, hormones, psychostimulants and antidepressants are prescribed. Competent drug treatment is very effective, and in half the cases it contributes to rapid healing.
Of great importance is the psychotherapy prescribed along with the administration of drugs. Among the methods of psychotherapy are hypnosis - classical and Erickson - and hypnotic therapy. Do not lose sight of such an aspect as improving the emotional microclimate in the family and at school. The last point is also significant for the treatment of enuresis in children, as well as drug treatment.