Enuresis is urinary incontinence that most of the time occurs during sleep. The most common carriers of bedwetting are children (94.5%), some adolescents (4.5%), a small number of adults (about 1 percent of carriers).
In three quarters of carriers, enuresis occurs during sleep.
Parents often prefer not to talk about this "delicate problem", considering it something shameful. Or they do not attach special importance to "such a nuisance", being in full confidence that enuresis is a temporary phenomenon.
Interestingly, only 61% of parents consider bedwetting to be a serious problem. And in one third of these families, they resort to punishing the child as a form of cessation of enuresis, which aggravates its course.
Despite the fact that the disease was described by Avicenna more than centuries ago, it began to be studied relatively recently. The reasons for all cases of bedwetting are different. Provided that the child has excluded diseases of the urinary system, other somatic pathology, child psychiatrists are engaged in the treatment of enuresis in children.
Parents probably noticed that the first phase of the child's night sleep is very deep, especially if he had physical activity during the day, he ran, played. In patients with enuresis, there is a tendency to deep, or "dead" sleep, in which the "sentinel center" is inhibited and bedwetting develops. Normally, the "sentinel center" of the cerebral cortex retains the ability to perceive the urge to urinate during sleep and leads to the awakening of a person. It can be very difficult to wake up patients with enuresis in the deep sleep phase, and because of the uneven maturation of various parts of the brain, the “watchpoint”, this internal alarm clock, does not work. Because of this, an uncontrolled discharge of urine occurs during sleep.
How to cure bedwetting? The most accessible is the method of education of the urinary "control-reflex". In addition, it does not require constant medical supervision, while preliminary examination and dynamic observation should still be there, it is easy to perform. What should parents do? First and foremost, stop giving water before bed. And the second is to help form the mechanism of the reflex perception of the urge to urinate and to wake up. From the moment the child drank for the last time, it should take 4-6 hours until the child is lifted by the parents. The appearance of a reflex consists of multiple repetitions of the same action under the same conditions. The child needs to be woken up after the same period of time, but not necessarily at the same time, it depends on when he fell asleep and what time he last drank. You need to wake up so that the child consciously goes to the toilet. In this case, parents will have to work hard, the effect occurs after 4-6 months of the technique, and sometimes even later. The method requires patient and rigorous execution. Parents need not to deviate from the treatment regimen, force the child to follow the daily regimen, possibly change their rhythm of life. After all, it is the parents who will have to wake him up at night and control the time of the last fluid intake, the time of falling asleep and the time of getting up at night. But it's worth it.