{"id":25621,"date":"2020-06-05T22:36:39","date_gmt":"2020-06-05T20:36:39","guid":{"rendered":"https:\/\/intervista.al\/web\/?p=25621"},"modified":"2020-06-05T22:36:41","modified_gmt":"2020-06-05T20:36:41","slug":"urinimi-n%d1%91-shtrat-gjat%d1%91-nat%d1%91s-tek-femijet-shkaqe-klasifikimi-dhe-trajtimi-mjekesor-nga-dr-artan-koni-urolog-pediater","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2020\/06\/urinimi-n%d1%91-shtrat-gjat%d1%91-nat%d1%91s-tek-femijet-shkaqe-klasifikimi-dhe-trajtimi-mjekesor-nga-dr-artan-koni-urolog-pediater\/","title":{"rendered":"Urinimi n\u0451 shtrat gjat\u0451 nat\u0451s tek f\u00ebmij\u00ebt; shkaqe, klasifikimi dhe trajtimi mjek\u00ebsor. Nga Dr.Artan Koni, urolog-pediat\u00ebr"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

Eneurezis nokturna<\/p>\n\n\n\n

15% e f\u0451mij\u0451ve n\u0451 mosh\u0451n 5- vjecare vuan nga NE. Kjo p\u0451rqindje zvog\u0451lohet rreth 15% cdo vit, duke arritur ne 1% n\u0451 mosh\u0451n 15- vjecare. N\u0451 k\u0451t\u0451 kuptim, duhet t\u0451 jemi t\u0451 vet\u0451dijsh\u0451m se NE mund t\u0451 jet\u0451 pjes\u0451 e rritjes s\u0451 f\u0451mij\u0451s.<\/p>\n\n\n\n

Klasifikimi:
NE klasifikohet n\u0451 dy (2) m\u0451nyra.
1) NE monosimptomatike (MNE) dhe NE jo-monosimptomatike (non-MNE). Ky klasifikim bazohet n\u0451 simptomat e tjera, t\u0451 cilat mund t\u0451 shoq\u0451rojn\u0451 f\u0451mij\u0451n, ose jo.
N\u0451se f\u0451mija vuan nga shqet\u0451sime t\u0451 tipit: urinim i pavullnetsh\u0451m gjat\u0451 dit\u0451s, urgjenc\u0451 p\u0451r t\u0451 shkuar n\u0451 tualet, nuk arrin t\u0451 shkoj deri n\u0451 tualet dhe i shp\u0451tojn\u0451 disa pika urine rrug\u0451s, urinim pika-pika ose konstipacion i vazhduesh\u0451m, kemi t\u0451 bejm\u0451 me non-MNE. N\u0451se asnj\u0451 nga shqet\u0451simet e m\u0451sip\u0451rme nuk ekziston, at\u0451her\u0451 kemi t\u0451 bejm\u0451 me MNE. Ndarja e sakt\u0451 e k\u0451tyre dy klasifikimeve \u0451sht\u0451 e r\u0451nd\u0451sishme, pasi edhe trajtimi ndryshon.
2) NE primare (PNE) dhe NE sekondare (SNE). Ky klasifikim bazohet n\u0451 arritjen ose jo t\u0451 kontinenc\u0451s urinare. PNE n\u0451nkupton q\u0451 f\u0451mija nuk e ka arritur asnj\u0451her\u0451 kontrollin urinar. SNE n\u0451nkupton q\u0451 f\u0451mija ka qen\u0451 t\u0451 pakt\u0451n 6 muaj me kontinenc\u0451 urinare, m\u0451 pas, papritur fillon dhe urinon n\u0451 shtrat gjat\u0451 nat\u0451s. Shumica e rasteve me SNE shkaktohen si pasoj e problemeve psikologjie, duke filluar nga dhuna n\u0451 familje e deri te problemet e adaptimit n\u0451 kop\u0451sht apo shkoll\u0451. Keshtu q\u0451 \u0451sht\u0451 e r\u0451nd\u0451sishme t\u0451 b\u0451het nj\u0451 klasifikim i sakt\u0451 i NE, sepse nj\u0451 pjes\u0451 e femij\u0451ve mund t\u0451 ken\u0451 nevoj edhe p\u0451r ndihm\u0451n e psikologut.<\/p>\n\n\n\n

Nga shkaktohet:
Duhet t\u0451 kemi parasysh q\u0451 NE ka nj\u0451 predispozicion genetik. N\u0451se familjar\u0451t e brezit t\u0451 par\u0451 e t\u0451 dyt\u0451 kan\u0451 vuajtur nga NE, edhe f\u0451mija juaj ka gjasa t\u0451 vuaj nga t\u0451 nj\u0451jtat shqet\u0451sime. NE shkaktohet nga tre (3) probleme baz\u0451:
1) problemet me gjumin. K\u0451ta f\u0451mij\u0451 nuk e perceptojn\u0451 mbushjen e fshik\u0451z\u0451s urinare, ose e perceptojn\u0451 por e kan\u0451 gjumin e r\u0451nd dhe nuk mund t\u0451 zgjohen.
2) kapaciteti i fshik\u0451z\u0451s urinare \u0451sht\u0451 m\u0451 i vog\u0451l se normalja, ose fshik\u0451za e urin\u0451s \u0451sht\u0451 m\u0451 aktive se normalisht.
3) prodhimi i urin\u0451s gjat\u0451 nat\u0451s \u0451sht\u0451 m\u0451 shum\u0451 se normalja. Kjo mund t\u0451 vij si pasoj e l\u0451ngjeve t\u0451 tep\u0451rta q\u0451 konsumohen para gjumit, apo nga mang\u0451sia e hormonit anti-diuretik (ADH), hormon i cili zvog\u0451lon sasin e urin\u0451s t\u0451 prodhuar gjat\u0451 nat\u0451s. Gjithsesi, ky problem ka lidhje me procesin e zhvillimit normal t\u0451 f\u0451mij\u0451s.<\/p>\n\n\n\n

Diagnoza:
Sic e perm\u0451nd\u0451m edhe m\u0451 sip\u0451r, \u0451sht\u0451 e r\u0451nd\u0451sishme t\u0451 kuptohet n\u0451se f\u0451mija ka shqet\u0451sime t\u0451 tjera gjat\u0451 dit\u0451s, apo jo. P\u0451r t\u0451 kuptuar k\u0451t\u0451, prind\u0451rit duhet t\u0451 ken\u0451 informacion t\u0451 detajuar n\u0451 lidhje me urinimin e f\u0451mij\u0451s gjat\u0451 dit\u0451s. N\u0451se nuk kan\u0451, mund t\u0451 p\u0451rdoren disa formular me an\u0451 t\u0451 t\u0451 cil\u0451ve arrijm\u0451 t\u0451 kuptojm\u0451 sa her\u0451 urinon f\u0451mija gjat\u0451 dit\u0451s, a ka urinim t\u0451 pavullnetsh\u0451m apo jo, a ka urgjenc\u0451 p\u0451r t\u0451 shkur n\u0451 tualet apo jo, a e mban urin\u0451n deri n\u0451 castin e fundit apo jo, etj.<\/p>\n\n\n\n

Trajtimi:
N\u0451n mosh\u0451n 5 -vjecare, n\u0451se NE nuk p\u0451rb\u0451n problem psikologjik p\u0451r f\u0451mij\u0451n apo prind\u0451rit, trajtimi mund t\u0451 shtyhet, sepse nuk duhet harruar q\u0451 NE mund t\u0451 kaloj me rritjen e f\u0451mij\u0451s. Prind\u0451rve mund t\u2019i sqarohen rekomandimet baz\u0451 t\u0451 nj\u0451 urinimi t\u0451 sh\u0451ndetsh\u0451m. Dy or\u0451 para se t\u0451 flejn\u0451, f\u0451mij\u0451t duhet t\u0451 zvog\u0451lojn\u0451 sasin e l\u0451ngjeve q\u0451 konsumojn\u0451, para se t\u0451 flejn\u0451 duhet patjet\u0451r t\u0451 shkojn\u0451 n\u0451 tualet, marrja e l\u0451ngjeve gjat\u0451 dit\u0451s duhet t\u0451 ndahet n\u0451 sasi t\u0451 barabarta, n\u0451se ka probleme me konstipacionin nuk duhen l\u0451n\u0451 pas dore. Urinimi n\u0451 m\u0451nyr\u0451 t\u0451 rregullt \u0451sht\u0451 shum\u0451 i r\u0451ndesish\u0451m. F\u0451mij\u0451t duhet t\u0451 shkojn\u0451 n\u0451 tualet cdo 2-3 or\u0451, gjat\u0451 urinimit k\u0451mb\u0451t e f\u0451mij\u0451s duhet t\u0451 takojn\u0451 n\u0451 tok\u0451, ose duhet vendosur nj\u0451 bazament shtes\u0451 me an\u0451 t\u0451 s\u0451 cilit f\u0451mij\u0451t mund t\u0451 vendosin k\u0451mb\u0451t\u2026sepse urinimi me k\u0451mb\u0451 n\u0451 aj\u0451r \u0451sht\u0451 i v\u0451shtir\u0451 p\u0451r f\u0451mij\u0451t. P\u0451rvec k\u0451saj, mbajtja e nj\u0451 grafiku urinimi \u0451sht\u0451 e r\u0451nd\u0451sishme p\u0451r t\u0451 rritur motivimin e f\u0451mij\u0451s\u2026grafik i cili n\u0451se plot\u0451sohet n\u0451 m\u0451nyr\u0451 t\u0451 p\u0451rpikt\u0451 nga f\u0451mija, mund t\u0451 p\u0451rkthehet me nj\u0451 dhurat\u0451 n\u0451 form\u0451 lodre apo cokollate psh nga prinderit, duke rritur k\u0451shtu p\u0451rfshirjen e f\u0451mij\u0451s n\u0451 k\u0451t\u0451 proces\u2026.dhe padyshim duke ulur presionin psikologjik mbi vet\u0451 f\u0451mij\u0451n. Prind\u0451rit nuk duhet ta stresojn\u0451 akoma m\u0451 shum\u0451 f\u0451mij\u0451n, por t\u2019ia leht\u0451sojn\u0451 nga ana psikologjike k\u0451t\u0451 proces. Ka dy m\u0451nyra baz\u0451 trajtimi p\u0451r f\u0451mij\u0451t me NE:<\/p>\n\n\n\n

1- M\u0451nyra m\u0451 e p\u0451rdorur \u0451sht\u0451 analogu i hormonit desmopressin. Q\u0451llim i ketij trajtimi \u0451sht\u0451 z\u0451vend\u0451simi i munges\u0451s s\u0451 k\u0451tij hormoni te f\u0451mija, duke zvog\u0451luar k\u0451shtu sasin e urin\u0451s t\u0451 prodhuar gjat\u0451 nat\u0451s. Doza e ilacit mbahet e lart\u0451 n\u0451 fillim, dhe zvog\u0451lohet gradualisht. Avantazhi m\u0451 i madh i k\u0451tij trajtimi \u0451sht\u0451 efekti i menj\u0451hersh\u0451m q\u0451 me doz\u0451n e par\u0451. Ilaci vendoset n\u0451n gjuh\u0451 nj\u0451 or\u0451 para gjumit dhe p\u0451rdoret cdo nat\u0451. Nj\u0451 disavantazh i k\u0451tij mjekimi \u0451sht\u0451 se NE p\u0451rs\u0451ritet fill pas nd\u0451rprerjes s\u0451 kur\u0451s. K\u0451shtu q\u0451 \u0451sht\u0451 e r\u0451nd\u0451sishme q\u0451 kura t\u0451 b\u0451het e plot dhe ilaci t\u0451 zvog\u0451lohet gradualisht. Duhet theksuar se opinioni i p\u0451rgjithsh\u0451m popullor se ky ilac krijon m\u0451 von\u0451 probleme me fertilitetin, nuk kan\u0451 baza shkencore.<\/p>\n\n\n\n

2- Nj\u0451 m\u0451nyr\u0451 tjet\u0451r trajtimi \u0451sht\u0451 aparati i alarmit. Ky aparat jep alarm n\u0451 castin q\u0451 f\u0451mija lag krevatin. Avantazhi m\u0451 i r\u0451nd\u0451sish\u0451m \u0451sht\u0451 se trajtimi ka efekt t\u0451 p\u0451rhersh\u0451m. Disavantazhi m\u0451 i madh \u0451sht\u0451 v\u0451shtir\u0451sia e p\u0451rdorimit t\u0451 k\u0451tij aparati.<\/p>\n\n\n\n

Si p\u0451rfundim:
NE duhet t\u0451 kuptohet si nj\u0451 problem i cili duhet menaxhuar me mir\u0451kuptim nga ana e prind\u0451rve, duke mos e stresuar edhe m\u0451 shum\u0451 f\u0451mij\u0451n. Nuk duhet harruar se nj\u0451 pjes\u0451 e mir\u0451 e k\u0451tyre problemeve do kalojn\u0451 me rritjen e f\u0451mij\u0451s. N\u0451 rastet kur NE p\u0451rb\u0451n problem psikologjik p\u0451r f\u0451mij\u0451n apo familjar\u0451t, trajtimi me ilac apo alarm, \u0451sht\u0451 i mundsh\u0451m dhe i efektsh\u0451m.<\/p>\n\n\n\n

Burimi: Humanum.al<\/p>\n","protected":false},"excerpt":{"rendered":"

Eneurezis nokturna 15% e f\u0451mij\u0451ve n\u0451 mosh\u0451n 5- vjecare vuan nga NE. Kjo p\u0451rqindje zvog\u0451lohet rreth 15% cdo vit, duke arritur ne 1% n\u0451 mosh\u0451n 15- vjecare. N\u0451 k\u0451t\u0451 kuptim, duhet t\u0451 jemi t\u0451 vet\u0451dijsh\u0451m se NE mund t\u0451 jet\u0451 pjes\u0451 e rritjes s\u0451 f\u0451mij\u0451s. Klasifikimi:NE klasifikohet n\u0451 dy (2) m\u0451nyra.1) NE monosimptomatike (MNE) dhe […]<\/p>\n","protected":false},"author":5,"featured_media":25622,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[2499],"class_list":["post-25621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeku","tag-dr-artan-koni"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/25621","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=25621"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/25621\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/25622"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=25621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=25621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=25621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}