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#1
10.03.2017, 23:59
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Нейрогенный мочевой пузырь на фоне стресса у ребёнка
Здравствуйте! Девочка, 4 года. В день когда я ушла в роддом начала часто ходить писать. По отношению к младшему брату открытой агрессии нет, но иногда проскакивает что не любит его и что надо ему сделать плохо, но не делает ему ничего плохого. Сдавали анализы, делали узи. Всё норма. Диагноз: нейрогенный мочевой пузырь. Я стала проводить с ней много времени, так как папа мог быть с малышом. Ситуация немного улучшилась. Но неделю назад стало ещё хуже чем раньше. Недержания нет, на прогулке может и 2 часа терпеть или даже не вспомнить о туалете. Как помочь ребёнку? Невролог выписал пикамилон и магний В6. Не помогает в плане мочевого пузыря.у ребенка только появилась тяга к учёбе. Посоветуйте что-нибудь, пожалуйста
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#2
11.03.2017, 00:28
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выписанные псевдолекарства точно не помогут ребенку, вообше здесь таблетки не помогают, если есть время - читайте и переводите и применяйте методику, описанную здесь
6. Changing behaviors A simple behavioral regimen has demonstrated its effectiveness in practice in the outpatient setting. Timed voiding is a technique that is often used for children with bladder dysfunction/dyssynergy and involves having a child void regularly to train the bladder. The method proposed here is that of timed not-voiding. After explaining the cause (namely that of oversensitivity to a normal bladder) to the family, they are told that the child needs to learn to ignore the urges and postpone voiding. Thus, after he has gone to the bathroom, a timer (on a microwave or cell phone) is set, and the child is informed that if he does not void during that time, he will earn a previously agreed on small reward (eg, stickers, candy, extra video time); keeping a reward chart to measure progress is also useful for reinforcing the behavior. Although this can be done after each void, this can quickly become burdensome, and the family will often not have access to the child throughout the day (eg, if he is at school, where such a program may prove onerous for a teacher). Fortunately, variable timing schedules are also effective in behavior modification, and the most practical course will often be to set up a few reward periods scattered over the course of the day. For the first day, a time that the child can easily achieve is chosen (if he is voiding every 30 minutes, one may start with 15 minutes on the timer) so that he can see how the rewards work. The time is then lengthened by 5 to 20 minutes per day, with reward chances a few times each day, always trying to pick a length in which the likelihood of earning a reward is essentially 100%. Once the child can go 90 to 120 minutes between voids, the program can be dropped (or the family may use the reward system to target a different behavior). If a child voids before the timer goes off, there is no punishment; he just has to wait until the next opportunity to win a reward. Personal experience in the office indicates that well over 90% of children will respond without the need for further workup or referral to urology.
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#4
13.03.2017, 20:07
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Линейный вид
