May 24 is the second “World enuresis Day“, this year’s theme is “concerned about the children with nocturnal enuresis, action at this time.” In order to improve the majority of parents of children nocturnal enuresis disease awareness, attention to the adverse impact of the disease on children nocturnal enuresis physical and mental health, helping children with enuresis night early return to normal life, “World enuresis Day” is approaching, the International Continence Commission on children Association and China Association of kidney pediatrician committee co-sponsored the 2016 “World day enuresis” Chinese public action, designed to appeal to the whole society to act together, love night enuresis in children, children affected by nocturnal enuresis troubled early to get standard treatment .
The picture shows the famous children’s kidney disease specialist, Children’s Hospital of Zhejiang University Affiliated assistant professor Mao Jianhua (left), China Association of Kidney pediatricians committee chairman, the National Children’s nocturnal enuresis expert collaborative group head of Fudan University Children’s Hospital Professor XU (second from left), first Affiliated Hospital, vice president of Zhengzhou University, the famous children’s urology expert Professor Wen Jianguo (right)
“Nocturnal enuresis” low awareness of over 50% of the children were neglected
Children’s nocturnal enuresis, commonly known as “bed-wetting” refers to the clinical and children over 5 years old at night and can not wake up from sleep in the unconscious urination. Nocturnal enuresis often underestimated and neglected diseases, many parents mistakenly believe that “bed-wetting is not a disease.” As everyone knows, children nocturnal enuresis great harm, can seriously affect self-esteem and self-confidence in children, it is one of the important factors that affect children’s physical and mental development.
A survey showed, Chinese public awareness of children’s nocturnal enuresis disease was only 62%, less than 50% of children with nocturnal enuresis go to the hospital. Experts said that the prevalence of nocturnal enuresis is very high, about 16% of children aged 5 and 7 years old and 10% of children suffer from nocturnal enuresis, and there are about 3% of children will continue into adulthood, persistent nocturnal enuresis will seriously affect the self-esteem and self-confidence in children, the child’s life in the future will have a huge impact. Therefore, to enhance public awareness of doctors and nocturnal enuresis awareness education is imminent, do not let the child’s future, “wings folded the sheets.”
China Association of Kidney pediatrician committee chairman, the National Children’s nocturnal enuresis expert collaboration team leader, Professor XU Hospital of Fudan University pointed out that “wet the bed” is actually a common pediatric disease, known as “nocturnal enuresis medicine “, not the child’s fault, and you should be able to get proper treatment.
Expert interpretation of “nocturnal enuresis” Early diagnosis and treatment of multi-linkage
Children over the age of five and often wet the bed at night is not normal, parents with children in medical treatment. Public awareness and prevalence of bedwetting is not a disease as opposed to “wet the bed” is not a purely psychological problem, it exists more complex risk factors, may be with genetics, growth and developmental delay, a variety of psychological and other related factors.
“World enuresis Day” establishment background, children’s committee International Continence Society, the First Affiliated Hospital, vice president of Zhengzhou University, the famous children’s urology expert Professor Wen Jianguo said that children nocturnal enuresis is a global problem, the prevalence of the disease identified known low, low rate of treatment, diagnosis and treatment of non-standard situations. Chinese experts term commitment to the standardization of diagnosis and treatment of nocturnal enuresis of children, many efforts. November 2013 to establish a Chinese child enuresis management expert Collaborative Group, 2014 issued the “China Children’s single nocturnal enuresis symptoms of disease management expert consensus”, the country’s regional cooperative groups also have been established. Wen Jianguo said, “We let the public correct understanding ‘nocturnal enuresis’ and focus on disease intervention, called on the community, parents, doctors work together in many ways, so that early diagnosis and treatment of night enuresis in children, to regain a better future health.”
The famous children’s kidney disease specialist, Children’s Hospital of Zhejiang University Affiliated assistant professor Mao Jianhua admissions over very many children with nocturnal enuresis, “Some children will wash the sheets at night secretly to evade parents scold; some children refused to participate in school activities overnight to avoid being ridiculed classmates. this fully shows that the adverse effects on child mental nocturnal enuresis produced very large. “Professor Mao Jianhua said,” in fact, children nocturnal enuresis is a common by detailed history, physical examination and record voiding diary excluding daytime symptoms and complications of single factors diagnosed symptomatic nocturnal enuresis, most of the good treatment available. “Therefore, even if that child may be suffering from nocturnal enuresis, parents without undue stress, timely diagnosis and treatment of children recover specification physical and mental health of the key.
It is reported that, at present, more than 10 provinces, Beijing, Shanghai, Jiangsu, Guangdong and other hospitals have set up hundreds of nocturnal enuresis treatment center. Such as Shanghai Fudan University Children’s Hospital, select the “nocturnal enuresis of children” as a medical grade of “forward”, through the hospital Minhang Collaboration Fudan pediatricians conjoined at five community health service centers jointly carry out the “child nocturnal enuresis” missionary, consulting and clinic activities, through the “homogeneity” of treatment and two-way referral strategy for grassroots night enuresis in children provide convenient, standardized and high-quality medical services.
On children nocturnal enuresis
Children’s nocturnal enuresis, commonly known as “bed-wetting” refers in clinical child over the age of 5 and unconscious urination at night can not happen to wake up from sleep. According to statistics, the prevalence of nocturnal enuresis is very high, about 16% of children aged 5 and 7 years old and 10% of children suffer from nocturnal enuresis, and there are about 2-3% of children will continue into adulthood.
Children’s nocturnal enuresis etiology is more complex, with the possible genetic, growth delay, various psychological factors related. Currently the world’s most recognized argument is: the child’s urine produced at night than the child’s bladder capacity, while children can not wake up from sleep. The most important reason can be summed up:
The lack of a chemical called “antidiuretic hormone.” This substance secreted at night more, tell more kidneys produce less urine. Therefore, even if the child is normal bladder capacity, lack of this substance, the bladder can not store these excess urine.
Child’s bladder capacity is not big enough to store his / her urine all night.
Filling of the bladder does not send information to the brain, the children wake up to the toilet, and that will have their own bladder voiding, which took place bedwetting.
Constipation: If it is not, then regular bowel movements, stool will backlog and oppression of the bladder, and urinary bladder is difficult to “hold” to live, to stay in the bladder.
Drink: Occasionally, if the child at bedtime drink too much of a particular beverage, can also cause bedwetting.