Pediatric urinary incontinence, also known as enuresis or bedwetting, refers to leakage of urine caused by loss of control of the bladder. At present, the international child urinary control society standard diagnostic criteria for age ≥ 5 years, frequency of enuresis ≥ 1-3 times, month. Nighttime enuresis is moisturized, usually in sleep, also known as nocturnal urinary incontinence; urinary incontinence during daytime waking, also known as daytime urinary incontinence.
Urinary incontinence in children is common, and it is common for children to leak urine during the day. The incidence of 7-year-old girls is 3%, and the incidence of 7-year-old boys is about 2%. Children’s nocturnal enuresis is more common than daytime urine leakage, and the incidence of urinary incontinence in children decreases with age.
Why do children have bedwetting?
The etiology of enuresis in children is still not fully understood. Most of them are related to the delayed development of the urinary control center, and most of the children will recover with age. Its onset is often the result of multiple factors.
The causes of bedwetting in children are classified into functional and organic. The former is related to heredity, which is a symptom of certain diseases. Brain dysfunction caused by congenital brain hypoplasia or acquired factors, or due to the reflex arc of the spinal cord, or due to stimulation of the urinary system and surrounding tissue, may result in bedwetting. Before the age of 3, due to the imperfect development of the central urinary function, reflex urination occurred at this time, it is not the disease. If you still have bedwetting after 5 years old, you should take your child to the hospital for treatment.
What should the child do with bedwetting?
Treatment of urinary incontinence in children includes behavioral therapy, medication, and physical therapy.
Limit water intake before going to bed, empty the bladder to reduce the amount of urine stored in the bladder at night. Encourage regular urination during the day and urinate once every 2 to 3 hours to avoid urinary incontinence due to urgency.
● Establish a reasonable life order
Living is normal, avoiding excessive fatigue and nervousness. It is best to stay asleep, so as not to get too familiar at night, it is not easy for adults to wake up and urinate. Do not be too excited before going to bed, put the urination clean before going to bed, and change the wet quilt pants in time.
●Wake up training
Wake-up training is to enable children to form a conditional reflex of “sound stimulation – urinary – awakening – urination”, and to promote the study of children’s ability to control urination at night.
Nocturnal urinary incontinence may be treated by increasing the level of vasopressin. Desmopressin is a synthetic antidiuretic hormone with tablets, sprays and nasal drops. It is orally administered 0.2-0.4 mg/time before bedtime and is suitable for nighttime polyuria.
Perineal electrical stimulation, biofeedback, neuromuscular regulation techniques and acupuncture help children control their urine.
As the child grows, the bladder’s capacity increases, the body’s natural alarm system activates, the bladder is overactive, the secretion of vasopressin becomes normal, and the signal response to urination time increases, and urinary incontinence gradually disappears. Although most children with urinary incontinence can heal themselves, it is very important to treat children with severe urinary incontinence in a timely manner.
In many families, the prospective father is misunderstood about pregnancy. Some prospective fathers think that they can contribute a gene. It is the wife of his wife. Before that, he does not need to make a behavior for himself. The corresponding change. But it is not a trivial matter to have a baby in pregnancy. Since the two couples decide to have children, they should be prepared as much as possible, and the father must provide the best quality sperm. So, what preparations should the prospective father do?
Folic acid supplementation
When preparing for pregnancy, it is not necessary for the mother to supplement the folic acid, and the prospective father should also supplement the folic acid. Because folic acid can effectively reduce the sperm of chromosomal abnormalities, thereby improving the quality of sperm. Therefore, the prospective father must eat folic acid at least 3 months in advance, 0.4 mg per day.
Protein is an important raw material for the formation of sperm. Reasonable supplementation of foods rich in high-quality protein helps to coordinate the endocrine of the prospective father and improve the quantity and quality of the sperm.
During the pregnancy, the prospective father can do some sports in a targeted manner, such as swimming, playing, Tai Chi, etc., continuous exercise for 30 to 45 minutes a day, time should not be too long, the intensity should not be too large. In addition, it is best for male compatriots not to ride bicycles for a long time, which is not good for sperm babies.
Be alert to high temperatures
Prospective fathers should try to avoid long-term stays in hot baths, saunas and other high-temperature environments. Try not to wear tight-fitting jeans or tight-fitting underwear when exercising outdoors. Because the testicles like a cool environment, if its temperature is too high, the sperm will be damaged, thus extending your path of pregnancy.
A fast-paced life, both male and female, is stressful, especially for the prospective father, who earns money to raise a family and has a lot of mortgages. Although the pressure is great, the prospective fathers still have to learn to relieve their stress. Studies have shown that even small pressures can reduce testosterone levels and sperm count. If you want to give birth to a healthy baby earlier, then the prospective father should try to relax during the break.
Avoid alcohol and tobacco
Expectant fathers smoking and drinking will reduce the testosterone content and sperm count. It is recommended that the prospective father quit smoking and alcohol at least 3 months before pregnancy. Moreover, passive smoking is also very detrimental to your wife’s health.
In the matter of pregnancy, the prospective fathers should also pay attention to it, so that they can achieve eugenics and give birth to healthy and intelligent babies.