URINARY INCONTINENCE NIGHT
Bedwetting or enuresis Nocturna International Children's Continence Society (ICCs) is defined as intermittent urinary incontinence in children 5 years and over by sleep. Night in his sleep, kidnapping, hijacking, as well as to sleep in during the day may be.
Stress, anxiety, genetic predisposition (family history), seen in conditions such as attention deficit rate of increase.
The causes of bed wetting in the night
- More than the amount of urine produced at night is: the secretion of the antidiuretic hormone vasopressin may be derived from. Expected bladder capacity bladder urine produced by keeping a diary that contains more than 7 days must be determined.
- Inability to detect bladder fullness: communication between the brain and the bladder when the bladder is full during sleep, are a nuisance. Warning goes when it comes to a certain level of urine in the bladder to the brain. This warning works the pelvic floor muscles as a result of the shutdown process takes place remains dry and the boy in his sleep.
- Small capacity of the bladder to hold urine in the bladder, it is not produced at night. So continuous contraction takes place throughout the night.
Treatment
→ Night alarm: a sensor that detects Moisture, and afterwards with a strong voice device. Lingerie is placed in. As he starts to pee while the child is asleep the alarm starts to sound. At first the child may wake up to the sound. However, over time the alarm will not ring, you wake up and pee stops. Thus, the brain is trying to establish communication between the bladder and the conditioning effect.
→ Drug therapy: evaluation after the amount of urine produced at night if desmopressin is given to reduce it.
→ Bladder – bowel training: age-appropriate is the time of the creation of water consumption and urination. That bothers bladder must stay away from food and beverages. Should be encouraged to go to the toilet before you go to bed. Constipation must be prevented.
→ Pelvic floor rehabilitation: contraction and relaxation of the muscles that control Urine are evaluated and the most appropriate treatment program, the function is created. Home exercises are supported.
DAYTIME URINARY INCONTINENCE
Accidentally drops the drops of urine until all the wet laundry from the inappropriate place varying amounts also missing.
Daytime urinary incontinence in children with urinary leakage outside to urinate suddenly jam, able to pee, frequent urination, interrupted urination, pee, defer to, problems such as burning during urination may also occur.
Causes of daytime urinary incontinence
- Overactive bladder : the bladder urine is the product of a sudden, in the event that sufficient tightness goes to the bathroom. If a jam is the type of urinary incontinence catch up. Usually the capacity of the bladder is low. There are abnormal involuntary contractions of the bladder during filling Nov. This is called irritable bladder.
- Less active bladder : the number of daily urination is less than 3. These kids don't feel the need to go to the bathroom when they wake up. A variety of reasons (games, TV,computer), they anticipate needs to pee. This also increases the capacity of the bladder. So to go pee is reduced. Overflow urinary incontinence in the form of the child's bladder is so dolarki. Over time, it is necessary to empty the bladder bladder contractions decreases. Bladder infections(residual) remains. This also causes urinary tract infections.
- Dysfunctional voiding: that is to relax the pelvic floor muscles need to relax during urination. The voluntary sphincter (the muscles around the anus) contraction of muscles is seen. So are empty the bladder fully. Bladder infections (residual) remains. This also causes the escape of urine into the kidney and urinary tract infections may cause.
- Pee procrastination: some kids game , or at school, wouldn't you want to go to the bathroom to pee because usenme delays. This delay is different maneuvers (legs will caprazlayar) makes.This puts more load on the pelvic floor muscles and impairs the function. Reduction in urine flow, and discontinuation becomes empty the bladder. Residual urine in the bladder (residual) urinary tract infection in advanced stages of bladder pressure increased, due to the escape of urine into the kidney causes.
- Giggle incontinence: the sudden laugh of the bladder during discharge. The reason is not clear. You need to hold urine, which allows you to strengthen the pelvic floor muscles.
CONSTIPATION
Constipation is not just the inability to poop. Prolonged the duration of defecation, defecation, during and after the pain-bleeding-having forced, after defecation, stool, or hard poop there was still a feeling dry means that the child is constipated to have to be doing.
Constipation the rectum (last part of the large intestine) has continuous poop. The accumulated weight of poop and makes it harder to move the pelvic floor muscles works are constantly contracting. After a while, not to relax. However, you must relax the muscles for full realization of ejaculation during defecation. In the absence of a full discharge of poo, poop out the remaining are forced to harden. This is also pain during defecation in children, unrest will create. Defecation was not afraid and will run away. The cause of defecation poop avoidance will enter into a vicious cycle because it will be harder. If we need to break this vicious cycle if we want to get rid of constipation.
Inactivity, fibre, and enough liquid to consume, side effects of some drugs, the incidence of constipation increases with neurological diseases.
Treatment
Is suitable primarily for the person will be questioned and the habits of life, and a diet that is rich in fiber foods we have to offer.
Bladder – bowel training by providing age-appropriate amount of time, water consumption and urination must be created.
Colon has been able to ride your pelvic floor muscles too much load. Therefore, the appropriate manual therapy techniques for the rehabilitation of the pelvic floor with breathing and relaxation should be made on Nov.
POOP INCONTINENCE
One of the biggest causes of incontinence, constipation, and poop. These concepts are related with each other that appear to contradict each other, very close actually. The rectum is the last part of the intestine which poop the brain when it comes to ‘poop’ I have an sends the signal. However, in the case of constipation hard dry poop accumulated and the rectum, the inner surfaces of new incoming hard to be covered poop, poop hit. Don't hit the inner surface of the rectum and can't send a signal to the brain. This new kids poop, I can feel it coming not. Remaining in the intestine and hard dry poop, poop exudes from among the new soft. This is seen in the form of contamination in underwear. This situation is perceived as either diarrhea or families didn't get clean enough. However, that occur after the kidnapping of poo is constipation.
Don't miss which is why constipation problems poop outside
→ genetic predisposition
→ Nov anus of loss of control
→ psychological trauma
→ excreting postponed
In general, any child over the age of 4 if you are experiencing bowel problems should be treated.
SUBJECT: BLADDER AUGMENTATION
A section of the nervous system, trauma, infection, surgery, Congenital etc. loss of bladder function due to damage that occurred for reasons subject: bladder augmentation is called. Depending on the region where the damage is located, different results will occur. The decrease in the activity of the bladder, and a decrease in reflex movements or loss, and sphincter (the muscles around the anus), we are faced with a situation such as failure.
As a result of this, the following is seen:
→ bladder emptying
→ by pressing down on the stomach, urine
→ increased urinary tract infection
→ whether the bladder is full and not being able to
→ while urinating less come, drip, drip is
→ frequent urination in small amounts
→ urinary incontinence
The nerves to the bladder are affected as a result of diseases where the function of emptying the bladder is affected. The child is not emptying the bladder. Thus, the bladder (residual) remains. As a result of these urinary tract infections bacteria multiply and develop. The bladder is filled with urine from the kidneys to the bladder makes it more difficult to remain the passage of urine. Breaks down the functioning of the kidneys. This is also blood in the urine, leading up to a heavy table to escape in the next period, leads to renal failure.
Subject: the cases of bladder
Anoraktal Malformations: congenital defects of the urinary and genital disorders that can be seen together with Intestinal disease. The storage section of the intestine, feces, so the development to be closed in various ways corrupted the anus (anal atresia), shortness of the anus, the anus covered with a membrane to be in situations like that in front of the anus, usually in the pelvic floor muscles are weak or undeveloped. When these muscles are cured with surgery, a large proportion of the work of the muscles and of the environment will be affected.
Spina bifida: in the mother's womb in the normal way avoid the spine , spinal cord and associated nerves is a situation where he's in the open.
Agnez sacrum: sacral vertebra or the lack of one.
Cerebral Palsy, Stroke, Parkinson's Disease, Multiple Sclerosis
Treatment
Requires long-term treatment for nerve damage.
→ Clean intermittent catheterization (PLUG): Urine orderly, safe manner is a method that allows to be emptied. Thin, flexible, and slippery with a probe into the bladder, the urine is empty. Must be done at regular intervals during the day.
→ Medication: according to the needs of the child are determined.
→ Bladder – bowel training: you should avoid food and drinks that bothers Bladder. Bowel bother putting full pressure on the bladder, because the child should not be constipated. So eat enough fiber from food, age-appropriate amount of water you should consume.
→ Pelvic floor Rehabilitation: Treatment manual therapy, electrical stimulation, EMG-Biofeedback, exercise, proper bucking-various methods such as voiding techniques are used. The pelvic floor muscles that control urination and defecation should be trained and evaluated with the appropriate program in the right way. Pee techniques are taught to help. Correct and consistent with treatment, a reduction in the number of plug can be achieved. The amount of outside peeing pee can search for. Incontinence may be reduced or even poop can be eliminated.
