Wet panties

In a long line of children's ailments that stands alone. Speech - about enuresis (bed-wetting), to poison the lives of many generations of children and adolescents

And also - their parents, or who prefer on this "delicate issue" does not spread, considering it something shameful. Or do not give "this trouble" special significance, being in full confidence that enuresis - a temporary phenomenon.

Experts are convinced that both are wrong. Empty disease take its course, to doom her young owner of a variety of other, equally serious problems.

Word - our expert, one of the leading experts in this field, nephrologist doctor of the highest category, Honoured Doctor of Russia, head of the nephrology department Izmailovo Children's Hospital of Moscow Stella Badyaevoy .

The power of stereotypes

The Izmailovo CST treatment of enuresis - a special attitude. For more than 30 years, which is dealing with this problem, Abramovna Stella and her colleagues helped to get rid of thousands of children enuresis. Many of them come to the nephrology department in a state of neglect. Before you get here, poor devils are a lot of doctors.

Even more of those doctors did not address at all. The reason - the error that prevented the parents of such children to take an adequate decision.

Misconception №1

Enuresis - a consequence of poor parenting

In fact. Bedwetting - not the fault of the child, and his misfortune. Often hereditary origin. According to the long-term observations of employees Izmailovo department of Nephrology at Children's Hospital, parents of some children suffering from enuresis, had in childhood similar violations. At the same time, according to experts, the risk of this disease in their child increased by 6 times.

However, this disease is not one reason. Enuresis - a disease of multifactorial, based may lie as problems of a purely psychological in nature (a reaction to the birth of the second child in the family, parents' divorce, and so on. D.) And physiological (bedwetting is often the result of a congenital abnormality or immaturity of the urinary system) that require a thorough diagnosis and treatment, not to the severity of the baby for the "wet pants." Punishing him for his "fault", parents only exacerbate the situation, which will inevitably lead to the fact that the child starts wetting the bed more often.

Misconception №2

Enuresis - the problem of age, over time it will pass by itself

In fact. Statistics show the opposite. According to her, enuresis affects 2-3% of 14-year-olds and 1-2% of those 18 and older. This, along with the night 30% of the holders of this diagnosis is not only at night, but daytime incontinence (it occurs more frequently in girls), and then ... encopresis (fecal incontinence).

- The fact is that during fetal development of a child laying pelvic occurs in one and the same time - explains the situation Stella Badyaeva. - So often in our patients meet Co-dysfunction of the pelvic organs (enuresis, daytime incontinence, constipation, faecal incontinence). Thus, examining children suffering from incontinence, we have long paid attention to the fact that most of them have broken urodynamics (the process of removing urine from the body). Even among patients with pyelonephritis such violations are common. Is this not a reason to understand, rather than gloss over the issue, which significantly reduces the quality of life not only of the child but the whole family! Going on holiday to the country, in a children's camp in a child creates an inferiority complex, which has an impact on his whole life.

Misconception №3

Bedwetting is not treated ...

In fact. Bedwetting is treatable. Proof of this - many years of experience Badyaevoy Stella and her colleagues. To begin with the child and his parents are invited to fill out a questionnaire for determining whether a young patient voiding.

Then, in the course are specific research methods, including:

● pelvic ultrasound;
● urography and cystography (radiographic methods of investigation of the kidneys and bladder);
● urofluometriyu - a diagnostic procedure used to measure the characteristics of the urine stream, during which the little patient must urinate into a special toilet connected to a computer measuring device;
● tsistomanometriyu and profilometry - highly informative studies that accurately diagnose disorders of urination in a particular child.

Often during the survey carried out for patients with enuresis farmakoproby: give the child medication once and see how it changes the parameters of urodynamics, and only after that drug treatment is carried out, which results in the Nephrology Unit Izmailovo Children's Hospital is 97%!

Misconception №4

Enuresis can be treated at home: tabletochki drink, and let it be

In fact. Stella Badyaeva convinced that examine and treat children with bedwetting, and other disorders of urination, on the basis of need only hospital. One pill is not enough.

- We create an individual treatment program for each child, which includes not only the carefully selected medication, but physiotherapy work with a psychologist - says Stella Abramovna.

A great help to doctors in the treatment of nephrology department enuresis was the use of biofeedback therapy using the principles of biofeedback, child-like computer game .  Looking at the screen, the child learns to control the muscles of the pelvic floor and breathing (which also affects the urinary system) alternately tensing and relaxing the muscles of the perineum .  Attached to the body sensors detect indicators of breath, heart rate and muscle contraction, which are displayed on the screen in the form of a controlled animated pictures .  Running fox, flying bee, wolf catches the hare - is good, but if the cartoon hero stops, means that the baby is doing something wrong and he needs to work better .  In combination with other therapeutic treatments such "game" normalizes the bladder, sphincter, improves blood circulation in the pelvic organs of the child for a long time, if ever it eliminates the problem of wet sheets .

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