{"id":22310,"date":"2019-05-02T20:00:46","date_gmt":"2019-05-02T18:00:46","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=22310"},"modified":"2019-05-02T19:45:47","modified_gmt":"2019-05-02T17:45:47","slug":"%ef%bb%bfcte-bej-kur-femija-urinon-ne-shtrat","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2019\/05\/%ef%bb%bfcte-bej-kur-femija-urinon-ne-shtrat\/","title":{"rendered":"\ufeff\u00c7’t\u00eb b\u00ebj kur f\u00ebmija urinon n\u00eb shtrat?"},"content":{"rendered":"\n

Ka shum\u00eb f\u00ebmij\u00eb q\u00eb, edhe pas mosh\u00ebs 3 vje\u00e7are, vazhdojn\u00eb t\u00eb urinojn\u00eb nat\u00ebn n\u00eb shtrat.<\/em><\/strong><\/p>\n\n\n\n

M\u00eb shum\u00eb, k\u00ebt\u00eb problem e kan\u00eb djemt\u00eb sesa vajzat. <\/em><\/strong><\/p>\n\n\n\n

Sipas statistikave, 15-20% e f\u00ebmij\u00ebve 5-6 vje\u00e7ar\u00eb, ende urinojn\u00eb n\u00eb shtrat nat\u00ebn dhe 8-12% e f\u00ebmij\u00ebve mbi 5 vje\u00e7, vazhdojn\u00eb ta lagin dyshekun rregullisht… <\/em><\/strong><\/p>\n\n\n\n

N\u00eb mosh\u00ebn 15 vje\u00e7are, vet\u00ebm 2% e tyre e kan\u00eb ende k\u00ebt\u00eb problem. Ky \u00ebsht\u00eb nj\u00eb problem i bezdissh\u00ebm p\u00ebr f\u00ebmij\u00ebt dhe mamat\u00eb e tyre, por n\u00eb fund t\u00eb fundit, mbetet nj\u00eb problem i zgjidhsh\u00ebm. Cilat jan\u00eb shkaqet, masat q\u00eb duhen marr\u00eb dhe kur duhet shkuar te mjeku?<\/em><\/strong><\/p>\n\n\n\n

– Pse f\u00ebmija im urinon nat\u00ebn n\u00eb shtrat?<\/strong><\/p>\n\n\n\n

– Urinimi i pavullnetsh\u00ebm n\u00eb shtrat nat\u00ebn, n\u00eb gjuh\u00ebn shkencore, quhet\nenurezi. Dallojm\u00eb enurezin\u00eb primare, te nj\u00eb f\u00ebmij\u00eb q\u00eb nuk e ka nd\u00ebrprer\u00eb kurr\u00eb urinimin\nn\u00eb shtrat dhe at\u00eb dyt\u00ebsore, q\u00eb prek f\u00ebmij\u00ebt q\u00eb e kan\u00eb nd\u00ebrprer\u00eb p\u00ebr t\u00eb pakt\u00ebn 6\nmuaj, para se ta fillonin p\u00ebrs\u00ebri.<\/p>\n\n\n\n

Shkaqet e enurezis\u00eb jan\u00eb t\u00eb shumta:<\/p>\n\n\n\n

– Shkaku i par\u00eb \u00ebsht\u00eb trash\u00ebgimia. N\u00eb fakt, \u00ebsht\u00eb v\u00ebrtetuar se, n\u00eb shumic\u00ebn\ne rasteve, t\u00eb pakt\u00ebn nj\u00ebri nga dy prind\u00ebrit e f\u00ebmij\u00ebve e ka pasur k\u00ebt\u00eb problem.\nN\u00ebse k\u00ebt\u00eb e kan\u00eb pasur t\u00eb dy prind\u00ebrit, f\u00ebmija i tyre rrezikon t\u00eb preket prej\ntij n\u00eb mas\u00ebn 77%. Urinimi n\u00eb shtrat nuk \u00ebsht\u00eb medoemos me origjin\u00eb\npsikologjike, si\u00e7 mendohet shpesh. Nganj\u00ebher\u00eb, shkak \u00ebsht\u00eb ulja e sekretimit t\u00eb\nhormonit antidiuretik q\u00eb ndalon normalisht urinimin nat\u00ebn. Gjithashtu, sistemi\nnervor i f\u00ebmij\u00ebs mund t\u00eb mos jet\u00eb mjaft i pjekur p\u00ebr t\u00eb kontrolluar\nkontraksionet e fshik\u00ebz\u00ebs s\u00eb urin\u00ebs, sidomos nat\u00ebn dhe n\u00eb k\u00ebt\u00eb rast, duhet vet\u00ebm\ndurim! Ka edhe f\u00ebmij\u00eb q\u00eb kan\u00eb frik\u00eb e ankth p\u00ebr t\u2019u ngritur vet\u00ebm nat\u00ebn, n\u00eb err\u00ebsir\u00eb\ndhe preferojn\u00eb ta b\u00ebjn\u00eb urin\u00ebn n\u00eb shtrat. Ata, gjithashtu, mund t\u00eb \u00ebnd\u00ebrrojn\u00eb\nsikur jan\u00eb n\u00eb banjo (kjo u ndodh t\u00eb gjith\u00ebve, edhe ne t\u00eb rriturve!). Shkaku i\nfundit \u00ebsht\u00eb se disa f\u00ebmij\u00eb e kan\u00eb gjumin aq t\u00eb thell\u00eb sa nuk zgjohen kur duhet\nt\u00eb shkojn\u00eb n\u00eb banjo dhe nuk e kuptojn\u00eb kur e b\u00ebjn\u00eb n\u00eb krevat!<\/p>\n\n\n\n

– Si duhet reaguar p\u00ebrball\u00eb nj\u00eb problemi t\u00eb till\u00eb?<\/strong><\/p>\n\n\n\n

– \u00c7do n\u00ebn\u00eb k\u00ebrkon t\u00eb dij\u00eb se si t\u00eb sillet p\u00ebrball\u00eb nj\u00eb problemi t\u00eb till\u00eb.\nDuhet ta anashkaloj\u00eb problemin apo ta qortoj\u00eb f\u00ebmij\u00ebn? Mos do t\u00eb ishte m\u00eb mir\u00eb\nq\u00eb t\u00eb p\u00ebrfshihej edhe ai dhe t\u00eb merrte pjes\u00eb n\u00eb heqjen e \u00e7ar\u00e7af\u00ebve? N\u00ebnat jan\u00eb\nt\u00eb gjitha t\u00eb ndryshme dhe reagimet e tyre, gjithashtu! Vet\u00ebm duhet t\u00eb keni\nparasysh se b\u00ebrja e urin\u00ebs n\u00eb shtrat \u00ebsht\u00eb di\u00e7ka e pand\u00ebrgjegjshme nga f\u00ebmij\u00ebt.\n\u00cbsht\u00eb gabim t\u00eb thuhet se ai \u201ce b\u00ebn me q\u00ebllim\u201d, si\u00e7 mendojn\u00eb disa.<\/p>\n\n\n\n

– Kur duhet t\u00eb shqet\u00ebsohemi v\u00ebrtet p\u00ebr enurezin\u00eb?<\/strong><\/p>\n\n\n\n

– N\u00ebse f\u00ebmija mbi 6 vje\u00e7 urinon n\u00eb shtrat, kjo nuk \u00ebsht\u00eb e jasht\u00ebzakonshme dhe\nju duhet t\u00eb ruani qet\u00ebsin\u00eb e durimin. N\u00eb pedopsikiatri, nuk shqet\u00ebsohemi n\u00ebse f\u00ebmija\n7 vje\u00e7 e posht\u00eb nuk e ka nd\u00ebrprer\u00eb kurr\u00eb urinimin. Problem \u00ebsht\u00eb kur f\u00ebmija ka\nqen\u00eb i past\u00ebr p\u00ebr shum\u00eb koh\u00eb dhe papritur, rifillon t\u00eb urinoj\u00eb n\u00eb shtrat. N\u00eb k\u00ebt\u00eb\nrast, duhet t\u00eb konsultoheni me mjekun, p\u00ebr t\u00eb zbuluar ndonj\u00eb problem mjek\u00ebsor…\nDuke filluar nga mosha 11 vje\u00e7are, nevojitet nj\u00eb trajtim mjek\u00ebsor dhe nganj\u00ebher\u00eb,\nedhe nj\u00eb ndjekje nga psikoterapeuti. Kjo b\u00ebhet kur enurezia kthehet n\u00eb nj\u00eb\nhandikap ose nj\u00eb shqet\u00ebsim real nga f\u00ebmija apo adoleshenti. K\u00ebshtu, duke u\nrritur, nj\u00eb pjes\u00eb e madhe e k\u00ebtyre f\u00ebmij\u00ebve evitojn\u00eb t\u00eb flen\u00eb gj\u00ebkundi tjet\u00ebr,\np\u00ebrve\u00e7se n\u00eb sht\u00ebpi. Kjo mund t\u00eb b\u00ebhet problematike n\u00ebse f\u00ebmija shkon n\u00eb\neskursion n\u00eb nj\u00eb qytet tjet\u00ebr dhe fle atje. <\/p>\n\n\n\n

– \u00c7far\u00eb zgjidhjesh jepen n\u00eb k\u00ebt\u00eb rast?<\/strong><\/p>\n\n\n\n

– M\u00eb e r\u00ebnd\u00ebsishmja \u00ebsht\u00eb t\u00eb arrish t\u00eb implikosh edhe f\u00ebmij\u00ebn, pa e posht\u00ebruar\nat\u00eb. I duhet dh\u00ebn\u00eb t\u00eb kuptoj\u00eb se nuk \u00ebsht\u00eb faji i tij, por q\u00eb duhet t\u00eb kujdeset\np\u00ebr veten, pa e marr\u00eb k\u00ebt\u00eb si nj\u00eb d\u00ebnim. Ja \u00e7far\u00eb masash mund t\u00eb merren:<\/p>\n\n\n\n

– N\u00eb dark\u00eb: Pasi ha zem\u00ebr, k\u00ebrkojini t\u00eb pij\u00eb sa m\u00eb pak uj\u00eb, por mos ia\nprivoni krejt ujin, \u00ebsht\u00eb e padobishme dhe e d\u00ebmshme p\u00ebr sh\u00ebndetin. Evitoni sup\u00ebrat\nn\u00eb dark\u00eb. Propozojini sistematikisht f\u00ebmij\u00ebs t\u00eb urinoj\u00eb para se t\u00eb shtrihet n\u00eb\nshtrat dhe krijoni k\u00ebshtu nj\u00eb ritual t\u00eb pandryshuesh\u00ebm. <\/p>\n\n\n\n

– N\u00eb m\u00ebngjes: N\u00ebse f\u00ebmija nuk ka urinuar gjat\u00eb nat\u00ebs, p\u00ebrg\u00ebzojeni.\nKujtohuni sa t\u00eb k\u00ebnaqur ishit ju dhe ai kur filloi t\u00eb urinonte n\u00eb uturak dhe sa\nnxitej ai nga motivimi juaj. At\u00ebhere, vazhdoni! N\u00eb rast se ka urinuar, k\u00ebrkojini\nt\u2019ju ndihmoj\u00eb t\u00eb nd\u00ebrroni \u00e7ar\u00e7af\u00ebt dhe t\u00eb rregulloni krevatin. Krijoni me t\u00eb nj\u00eb\nkalendar t\u00eb \u201cmeteorologjis\u00eb n\u00eb shtrat\u201d: N\u00ebse nuk ka urinuar, vizatoni nj\u00eb diell\nn\u00eb dit\u00ebn p\u00ebrkat\u00ebse, n\u00ebse po, nj\u00eb re me shi. Do t\u00eb shihni me g\u00ebzim, me kalimin e\njav\u00ebve dhe muajve, se kalendari do t\u00eb mbushet me diej dhe do t\u00eb ket\u00eb m\u00eb pak\nshi! Kjo i jep mund\u00ebsin\u00eb t\u00eb shoh\u00eb se p\u00ebrpjekjet e tij kan\u00eb dh\u00ebn\u00eb frytet e tyre\ndhe shum\u00eb shpejt ai do ta l\u00ebr\u00eb urinimin. Ekzistojn\u00eb edhe versione t\u00eb tilla n\u00eb\ninternet! Inkurajojeni duke i treguar se i kushtoni m\u00eb shum\u00eb r\u00ebnd\u00ebsi faktit q\u00eb\nai t\u00eb jet\u00eb i past\u00ebr, sesa problemit t\u00eb larjes s\u00eb rrobave. K\u00ebshtu, do t\u2019i jepni\nm\u00eb shum\u00eb besim n\u00eb vetvete. <\/p>\n\n\n\n

P\u00ebr t\u00eb thjeshtuar jet\u00ebn, ndiqni k\u00ebto k\u00ebshilla:<\/p>\n\n\n\n

– Vini nj\u00eb uturak pran\u00eb abazhurit.<\/p>\n\n\n\n

– Mbani nj\u00eb drit\u00eb t\u00eb vog\u00ebl ndezur, n\u00ebse f\u00ebmija ka nevoj\u00eb t\u00eb ngrihet vet\u00eb.<\/p>\n\n\n\n

– V\u00ebrini nj\u00eb mbrojt\u00ebse dyshekut.<\/p>\n\n\n\n

– Kini gjithmon\u00eb gati nj\u00eb pal\u00eb pizhama n\u00eb fund t\u00eb shtratit, t\u00eb cilat mund\nt\u2019i k\u00ebrkoni f\u00ebmij\u00ebs t\u2019i nd\u00ebrroj\u00eb vet\u00eb nat\u00ebn kur laget.<\/p>\n\n\n\n

– N\u00ebse f\u00ebmija do t\u00eb shkoj\u00eb n\u00eb eskursion me shok\u00ebt ose diku tjet\u00ebr gjetk\u00eb,\njepini ndonj\u00eb ila\u00e7 nga goja, t\u00eb tipit Ditropan ose nj\u00eb tjet\u00ebr, n\u00eb form\u00eb sprai. <\/p>\n\n\n\n

Pyetjet e n\u00ebnave:<\/strong><\/p>\n\n\n\n

– A duhet ta zgjoj f\u00ebmij\u00ebn nat\u00ebn q\u00eb t\u00eb urinoj\u00eb?<\/strong><\/p>\n\n\n\n

– Jo, kjo do t\u00eb ishte e kot\u00eb dhe, me kalimin e koh\u00ebs, ky lloj zakoni mund t\u00eb\nd\u00ebmtoj\u00eb gjumin e f\u00ebmij\u00ebs. <\/p>\n\n\n\n

– Do ta \u00e7oj f\u00ebmij\u00ebn te doktori p\u00ebr ta zgjidhur k\u00ebt\u00eb\nproblem. \u00c7far\u00eb do t\u00eb b\u00ebj\u00eb ai?<\/strong><\/p>\n\n\n\n

– Zakonisht, mjeku, p\u00ebr t\u00eb b\u00ebr\u00eb diagnoz\u00ebn, i b\u00ebn disa pyetje prind\u00ebrve dhe\nf\u00ebmij\u00ebs. Pastaj mund t\u00eb propozohen edhe analiza, si ajo e urin\u00ebs, ekografia,\netj.<\/p>\n\n\n\n

– \u00c7far\u00eb metodash t\u00eb tjera ekzistojn\u00eb kund\u00ebr\nenurezis\u00eb?<\/strong><\/p>\n\n\n\n

– Ka raste q\u00eb mjek\u00ebt japin disa ila\u00e7e. Ekzistojn\u00eb edhe pelenat speciale p\u00ebr\n\u201cf\u00ebmij\u00ebt e m\u00ebdhenj\u201d. M\u00eb n\u00eb fund, n\u00eb treg ekzistojn\u00eb edhe dispozitiva alarmi\nkund\u00ebr urin\u00ebs. B\u00ebhet fjal\u00eb p\u00ebr pelena ose nj\u00eb pllak\u00eb q\u00eb vihet posht\u00eb \u00e7ar\u00e7afit,\ne pajisur me dedektor\u00eb lag\u00ebshtie, t\u00eb lidhura me nj\u00eb sistem alarmi. Q\u00eb n\u00eb pik\u00ebn\ne par\u00eb t\u00eb urin\u00ebs, fillon alarmi q\u00eb zgjon f\u00ebmij\u00ebn, q\u00eb k\u00ebshtu mund t\u00eb shkoj\u00eb n\u00eb\ntualet. Kjo metod\u00eb, shpesh e kritikuar, nganj\u00ebher\u00eb rezulton shum\u00eb efikase. K\u00ebto\nalarme, t\u00eb shoq\u00ebruara me masat klasike, mund t\u00eb zhdukin urinimin n\u00eb shtrat\nbrenda disa muajve. Sido q\u00eb t\u00eb jet\u00eb, n\u00ebse nuk arrini t\u00eb keni sukses, duhet t\u00eb\nkeni vet\u00ebm durim dhe t\u00eb prisni kur f\u00ebmija do ta l\u00ebr\u00eb vet\u00eb urinimin.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ka shum\u00eb f\u00ebmij\u00eb q\u00eb, edhe pas mosh\u00ebs 3 vje\u00e7are, vazhdojn\u00eb t\u00eb urinojn\u00eb nat\u00ebn n\u00eb shtrat. M\u00eb shum\u00eb, k\u00ebt\u00eb problem e kan\u00eb djemt\u00eb sesa vajzat. Sipas statistikave, 15-20% e f\u00ebmij\u00ebve 5-6 vje\u00e7ar\u00eb, ende urinojn\u00eb n\u00eb shtrat nat\u00ebn dhe 8-12% e f\u00ebmij\u00ebve mbi 5 vje\u00e7, vazhdojn\u00eb ta lagin dyshekun rregullisht… N\u00eb mosh\u00ebn 15 vje\u00e7are, vet\u00ebm 2% e […]<\/p>\n","protected":false},"author":5,"featured_media":22311,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49],"tags":[],"class_list":["post-22310","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shendet"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/22310","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=22310"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/22310\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/22311"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=22310"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=22310"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=22310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}