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Basis for the diagnosis of functional enuresis Print
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Functional enuresis refers to five after the age of self-control can not urinate during the day and are likely to urine in the trousers, but no obvious reason for device quality.

Functional etiology of enuresis is not yet clear, may be related to the following factors:

  • (1) Genetic factors: family history of enuresis in children, often, about 70% of children with a history of relatives with enuresis may be related to control of enuresis in neural mechanisms related to delayed maturity.
  • (2) A strong spirit of the stimulus: a variety of serious mental or physical problems can be caused by a strong negative incentives, such as parental separation or death, the mother suddenly separated from the nursery into the relocation, accident or illness hospitalization, may so that at a crucial period of learning control urination (3 ~ 4 years old) children in this function damage caused by enuresis.
  • (3) Mental disorders: enuresis children often have more behavior and emotional problems, such as emotional,, Tic, good temper, bite and so on.

Enuresis can be divided into primary and secondary categories. Primary enuresis refers to small to large has been bed-wetting, secondary enuresis refers to a period of time before the age of 5 is no longer wet the bed (at least 6 months), 5-year-old and later wet the bed again. The majority of primary enuresis, about 75% ~ 80%. Enuresis with nocturnal enuresis the most common, accounting for about 80%. With increasing age, enuresis symptoms gradually reduced.

Enuresis diagnosed according to ICD-10 diagnostic criteria based on:

(1) the age of 5 years or 5 years (or mental age of 4 years and older);

(2) 5-year-olds at least two times a month enuresis, children over 6 years of age for each On at least one sub-enuresis;

(3) to exclude obvious causes of enuresis.

In the diagnosis of functional enuresis, you must remove a variety of somatic diseases, such as urinary tract infections and deformities, urethral stenosis, hypospadias, hidden spina bifida, neurological diseases, mental retardation and so on.

Enuresis treatment include: psychological therapy (through conversations with parents and children, respectively, so that children build confidence, get rid of sneer, mind, blame, or corporal punishment of children with non-performing method), urinary bladder function training, drug treatment, acupuncture treatment, and Chinese medical treatment.

 

                                                                                                                                                        2010-03-23

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