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Some children suffer from the problem of nocturnal enuresis, even when they are five years old, the age at which they are supposed to "drown", causing anxiety and embarrbadment in the family of children. Child himself.
Health reasons
The causes of this problem are divided into two parts: my soul and my body. "Nighttime urination is the lack of urine control by the child during his sleep after the age of five.It is divided into two types: first – if l & rsquo; Child does not control the urine during the night, and secondary – if he is clean for more than six months, then he returned to bed again. "
In an interview with "Arab"This nocturnal urination rate in men more than twice as much as women, and health reasons are as follows:
Firstly: Lack of hormone "Vasopersin" inhibitor of urine.
II: Bladder problems.
Third: the genetic factor where there is usually a family history of this health problem, "often the father is more than the mother".
Fourth: heavy sleep problems.
Fifth: certain diseases such as diabetes, urinary tract infections, constipation and neurological problems.
Psychological reasons
Psychiatrist Walid Sarhan said, "The first involuntary urination, which is not the one where the child has dried, is delayed in bladder development and control, and secondary urination, which occurs after a period of drought, is the result of psychological problems.
Sarhan said in an interview for "Arab":" The most important events that psychologically affect children usually cause them to return to nocturnal urination, the birth of a new child in the family or the occurrence of family differences. "
He pointed out that "the worst reaction of parents to urinate the child involuntarily is intimidation and the threat of punishment and that in some cases it becomes difficult to muzzle and throw headlines and labels on the child by the family ".
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"He can come to school and make a joke between his brothers and the children of neighbors and relatives.Some of his activities are affected at the age of 10 or 11. He can not get out of home to sleep with family, take a school trip or do other activities that require sleeping outside the house, and the possibility of nocturnal urination. "
"These methods of punishment are all rejected and the child should be rewarded for controlling his urination, which improves his psychological status and thus helps to solve the basic problem," said Sarhan.
Treatment
"The importance of treatment is to reduce the shyness and pressure on the child and to understand the parents because the situation is simple and it is possible to go alone and it can be important to share their personal experiences with the child. 'child so as not to feel excluded and alone in the face of this problem, focus on strengthening and avoiding punishment and reprimands'.
She emphasized that if no satisfactory condition poses the problem, the following steps should be taken:
First: reduce fluid intake before going to bed, "taking care to have enough fluids during the day so you do not feel thirsty at night" and not eating caffeinated substances such as non-alcoholic beverages alcoholic.
Second: the behavior of urination: the child must enter the bathroom during the day to urinate every half hours to two hours, so take his time and take care to empty the bladder, including during school hours. It is not allowed to prevent the child from bathing. To sleep
Third: the self-confidence, the imagination of the child himself awake without accident and his belief that he is able to control himself greatly contribute to solving the problem.
IV: use of urination stimuli; "The device detects the first drop of urine and then triggers an alarm to wake up the child so that he has complete urination in the bathroom," these devices help teach the nervous system and bladder exercises.
Fifth: drugs, such as inhibitory hormone and bladder licenses, and the problem often arises at the end of treatment.
"If the problem is due to a medical problem, you must treat it immediately," concluded the expert.
In turn, psychiatrist Walid Sarhan said: "After introducing the child to the pediatrician and to make sure that there is no organ defect in the reproductive system, the psychological treatment begins to stop the punishment and to be satisfied with the stars. "
"This is done by placing a sheet of paper on the day and date and placing a colored star every day upon awakening of the child.Otherwise, no star is placed. has more than one child in the family suffering from this problem, it is better to use a plate in the children 's room.or deprived of them because of the enuresis or not, as well as the cost of the children to help change clothes and blankets.
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He added: "It is agreed with the child of the reward that requires a certain number of stars, for example tell him that we will buy you the game you want if you get fifty stars, or that you go on a trip requires 10 stars and so on.
Sarhan pointed out that "it is not necessary to prevent the consumption of liquids in the evening, as this does not affect many parents, and of course, it means that liquids are in reasonable quantities and without exaggeration, and certainly during the treatment, the behavioral procedures and the appropriate method Treat by the family, they complement each other. "
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