Someone is said bedwetting when he can not hold urine at the time of discharge or place that is not desired. urine is produced by kidney and accommodated by bladder. During the gathering process, urethra must close. Once the bag is full, there will be reflect want to urinate. In this time, the urethra is opened. If the mechanism is not running properly, then there is an urinary incontinence. Urinary Incontinence (nocturnal enuresis) or bedwetting is the expenditure does not realize that urine when sleeping. Or when some one can’t manage urinate time. Difficult to hold urine at the time of discharge or place that is not desire.
There are two main factors that causes urinary incontinence;
The Bladder Dysfunction
Where bladder nerve that is too sensitive, so that urine hurried exit, or because of the bladder nerve which is not sensitive enough, so that when the bladder become too full, not realized it then overflows to outside by it self.
Because of the pressure that is push the urine bag. It can be caused by stress or the base of weak pelvis muscle. Too often in delivery on women can trigger this.
On children, bed wetting caused by at least not yet or not functioning of this two mechanisms, namely:
- Anti diuretic hormone cycle. Hormone that is useful to press urine production. Usually start off the evening by the body, so that the amount of urine at night is reduced.
- Full bladder sensation. Sensation is strong enough so that when the child is able to build up and then sleep for urinating in the bathroom or toilet.
Bedwetting Alarm for bedwetting child
A bedwetting alarm is a very effective tool that is been used in treatment for bed wetting child. The bedwetting alarms are useful for those children who begin to wet the bed. These bedwetting alarms are used only for children aged.The body worn alarm has a sensor which is so sensitive as the alarms goes off as the child starts to wet. On average, 3-5 months is needed for this. This is used in every night until the child has had at least 14 consecutive dry nights. ERIC has full details of these type of devices. By using it,the child begins wetting when his bladder is full without wetting the bed.
There are many benefits of using bed wetting alarm over medical therapy. First of all there is no side effects of using this alarm and the child does not have to go through the trauma of having medicines for months. There are different types of bed wetting alarm available on the market and they include, wearable, wireless and pad type alarm. Wireless alarm are the most conformable as they do not have any cord for attaching child’s clothing. If you are looking for the best bedwetting alarm in UK for your child, then I would suggest DRI Sleeper Eclipse Wireless Bed Wetting Alarm, it is wireless and does it jobs perfectly well.
Medication for bed wetting (nocturnal enuresis) problem by run a diagnoses, consisting of anamnesis (interview), phyisical and laboratory examination, also urodynamic. Doctor will do that to determine the medical action to cure this disease. Some times if it really needed, surgery for urinary incontinence will be done to increase the capacity collection of bladder, by installing sling (a synthetic rope) or injecting silicon or Teflon on the bladder neck.
The diagnostic results from the doctor will determine the action that must be made, based to urinary incontinence causes.
In the case of urgency urinary incontinence, first, the doctor will take action behavior therapy. in this therapy, patients are asked for a healthy pattern of living, avoid cigarettes, alcohol and caffeine. If this therapy failed, the doctor will perform pharmacologic therapy, with anti cholinergic drugs, to decrease the level of bladder nerve sensitivity. If this therapy also failed, the only way is to perform surgery.
Surgery for urinary incontinence is done to increase the capacity collection of bladder. bladder is splited, and added with illeum (small intestine) with this surgery, it is expected that the volume of urine can cause the urethra to be open more. Handling over flow incontinence with similar urgency urinary incontinence. First of all be patient behavior therapy, one with kegel exercise. If this therapy is fails, continue with pharmacologic therapy. If it still fails then do catheter. People will be trained to install the catheter. each time when the bladder is already full of urine, the patient can immediately install catheter.
Action of the surgical stress urinary incontinence is done in a way binding ligamentum (network buffer ligament) on the bone or pubis with installing sling, a kind of rope made from synthetic materials. Both intended to support the urethra so that the original position. Alternative action is injected with the agent such as Silicon or teflon on the bladder neck. This aims to replace the function of the pelvic base muscles weak.Continue reading