Zvinogona kuva nyore kuona kana mwana wako achienda kuna chiremba, seanenge ane fevri kana kuti ari kunyunyuta kwekutambudzika kana kupisa nekuzora, asi kunogona kuva nechinetso kana mwana wako ari kungovhima zvakawanda?
Kuramba uchidzoka kunotsanangurwa neHome Children's Continence Society sekudhonza hupfumi kana kupfuura pane nguva yekukwira mumwana wemakore mashanu kana kupfuura.
Kunyange zvazvo iyo isiri nguva dzose dambudziko rakakomba, haisi nguva dzose yakanakira kana, uye kunyange pasina dzimwe zviratidzo, vana vanowanzocheka vachifanira kushanyirwa nevana vavo.
Kuona Chiremba Chechidiki Chekugara Uchigadzirira
Kuti uve wakagadzirirwa zvakanakisisa, kuchenjera kuva nenhoroondo yakajeka yemukomana wemukomana wako uye maitiro emakumbo akanyorwa pasi kana kuchengetwa kure muuropi yako. Mibvunzo iyo chiremba wevana vako vangangokumbira kuti vanyengedze zvikonzero zvakasiyana-siyana zvekujaira kazhinji zvinosanganisira:
- Mwana wako ari kunyorera nguva dzose uyewo achizora zvizhinji here nguva imwe neimwe?
- Ari kumuka kazhinji usiku kuti anyuke here?
- Mwana wenyu ane zviitiko mushure mekunge akave akadzidziswa here?
- Mwana wako ane hanya yekuda kurinate kakawanda, asi zvino haufaniri kuenda here?
Mukuwedzera pakufamba nemuitiro wemwana wako, chiremba wako wevana achaitawo kuongororwa kwemuviri nekugadzirisa kubvisa zvimwe zvinokonzera kukanganisa kakawanda sehutachiona kana chirwere cheshuga chinokonzera.
Nei Mwana Wangu Ari Kuita Mari Yakawanda?
Pane zvikonzero zvekuti nei mwana wako angave achizorora zvakawanda. Zvimwe zviri pachena kune vamwe, sekunge mwana wako ari kunyura zvakawanda nokuti ari kunwa mvura yakawandisa yezvinwiwa, kunyange zvazvo asina nyota, akawanda pane tsika pane zvido.
Uyezve, unogona kushamiswa kuziva kuti kuvhiringidzika kunogona kubatana nekugara uchidzoka.
Heano zvimwe zvikonzero zvinokonzerwa nekudzora mumwana wako:
Kuvhara Dutu
Nekuvharidzira kwekuvharidzira, vana havatore nguva yekudurura chikwama chavo nokuti ivo vari mukukurumidza zvikuru kuti vadzoke zvakare kutamba. (Izvi zvinowanzokonzera kusavimbika.) Kana uchifungira izvi, kurudzira mwana wako kuti asunungure chidzitiro chake nguva dzose paanenge achienda muimba yekugeza ndokumuisa purogiramu yekuvhara maawa maviri kusvika matatu.
Vulvovaginitis kana Balanitis
Chimwe chikonzero ndechokuvhiringidza kwakapoteredza vaginal munzvimbo yevasikana (inonzi vulvovaginitis). Izvi zvingave zvakakonzerwa nokusaputira zvakanaka kana kutora mabhati ekugeza. Mukuwedzera, balanitis, kana kuvhuvhuta nyama kana kuvhura kwepenisi, inogona kuitika kune vakomana.
Diabetes Mellitus
Vakomana vechirwere cheshuga kana kuti Type I Chirwere cheshuga chiri pakati pemishonga iyo vabereki vakawanda vane shure kwepfungwa dzavo pavanounzira mwana wavo kuna chiremba wavo nekudzoka kazhinji.
Kusiyana nedzimwe mimwe mizhinji yakawanda inokonzera kukanganisa, vana vane chirwere cheshuga vanovhura nguva yakawandisa nguva imwe neimwe (polyuria), vangangodaro vari kunwa zvakanyanya (polydipsia), uye vanogara vachirasikirwa, izvo zvinowanzoita zvirwere zvechirwere cheshuga. Kuedzwa kwechirwere cheshuga kunogona kusanganisira urinalysis iyo icharatidza shuga kana glucose uye / kana ketone.
Urinary Tract Infection
Vana vane zvirwere zvekuvhenekera vanowanzovhiringidza kakawanda, asi vanowanzovawo nezvimwe zviratidzo, zvakadai sekurwadziwa uye kupisa nekuvhenekera (dysuria), mvura ine mvura kana ine ropa, fever uye njodzi. Vanogonawo kunge vane kurwadziwa shure, kusuruvara, uye / kana kunzwa sokuti vanofanirwa kurinha zvose kamwe-kamwe (kukurumidza). Kushandura uye urini tsika inofanirwa kuongororwa kuti iongorore vana vane zviratidzo zvekuvhara zvirwere.
Pollakiuria
Pollakiuria, iyo inonziwo kazhinji masikati urination syndrome, inozivikanwa kunyange isingazivikanwi chikonzero chinowanzozivikanwa chekuzorora muvana vaduku.
Yakawanda inowanikwa pakati pemakore mana nemakore matanhatu, vana ava vanotanga kudira urinho kaduku kanomwe kusvika pane makumi matatu zuva rimwe nerimwe. Vanogonawo kumuka usiku kuti vaende. Nezvo kuongororwa, mwana wako haafaniri kuva nemamwe zviratidzo uye zvekare kurara.
Kunyange zvazvo pane imwe nguva inobatana nekudzvinyirira, hapana kutora kunowanikwa kune vana vakawanda vane pollakiuria uye inowanzoenda mumavhiki mashomanana kana mwedzi pasina mushonga.
Diabetes Insipidus
Chirwere cheshuga insipidus (DI) chinokonzera kukanganisa nguva dzose uye chinogona kukonzerwa nekushayikwa kwe antidiuretic hormone (ADH), iyo inonzi chirwere cheshuga chinonzi insipidus kana nephrogenic chirwere cheshuga insipidus umo mafungiro asingateereri ADH.
ADH inonzi hormone inobvumira mafungiro kuti adye mvura, saka pasina kupindura kwaro kana kushaikwa kwayo, itsvo haigoni kuchengetedza mvura. Izvi zvinokonzera mutumbi kurasikirwa nemvura uye mwana anonzwa ane nyota kwazvo.
Shoko Rinobva Kunyanya
Izvi ndezvimwe zvezvikonzero zvingaita nei mwana wako angave achizorora kakawanda. Yeuka, kunyange zvakadaro, pane zvikonzero zvakawanda zvekutsvaga nguva dzose, naizvozvo zvakakosha kuti mwana wako aongororwa nevana vako.
Kana chiremba wako wehutachiona asingakwanisi kuziva chikonzero chekuti mwana wako adye nguva refu, kana kana akashungurudza mamiriro ezvinhu anoda kuongororwa zvakanyanya nenyanzvi, iwe uchatumirwa kune urologist vana (chirwere chinonyanya kugadzirisa urinary maturakiti matambudziko) uye / kana mwana wephrologist (chiremba anonyanya kugadzirisa zvirwere zvepfungwa).
> Sources
> Austin PF et al. Kuenzanisa kwemashoko ekuderedza urinary tract function > muvana nevechiri kuyaruka: mushumo unoshandiswa kubva muDare Rokusimudzira reSouth Children's Continence Society. J Urol . 2014 Jun; 191 (6): 1863-65.e13.
Kliegman: Nelson Nhamba yeBhuku rePediatrics, 18th ed.
Nepple KG, Cooper CS. (May 2017). Etiology uye zvipatara zvinokonzerwa nekusava nekushanda kwevana muvana. Mu: UpToDate, Baskin LS (Ed), UpToDate, Waltham, MA.