Voiding problems in children

 

cÖ¯ªv‡ei mgm¨v (Voiding dysfunction)

beRvZK ev”Pviv w`‡b 15-20 evi cÖ¯ªve K‡i, wKš‘ wK‡kvi wK‡kvixiv w`‡b 6-8 evi cÖ¯ªve K‡i _v‡K| cÖ¯ªv‡ei mgm¨v ej‡Z mvaviYZ †mBme mgm¨v‡K †evSvq †hLv‡b cÖ¯ªv‡ei bvjxi †Kvb mgm¨v _v‡Kbv ev ¯œvqyMZ †Kvb mgm¨v _v‡K bv wKš‘ cÖ¯ªv‡ei aiY ¯^vfvweK nq bv| G ai‡Yi †ek wKQz mgm¨v we`¨gvb hvi Rb¨ ‡ekxifvM †ÿ‡ÎB Jla ev Ab¨vb¨ wPwKrmvi cÖ‡qvRb nq bv, wKš‘  gvZv-wcZv I ev”Pv‡K bvbv weo¤^bvq †d‡j †`q| GiKg wKQz mgm¨v m¤ú‡K© wb‡¤œ Av‡jvPbv Kiv n‡jvt

1)	AwZ mwµq g~Î_wj (Overactive bladder)
		g~Î_wj mvaviYZ †QvU nq| ev”Pviv NY NY cÖ¯ªve K‡i, c¯ªv‡ei Pvc a‡i ivL‡Z cv‡i bv, 25% †ivMx iv‡Z weQvbvq cÖ¯ªve K‡i| evi evi cÖ¯ªv‡ei msµgb nq| cvqLvbv k³ nq GgbwK GwU GKwU Af¨v‡m cwiYZ nq|
	cixÿv-wbixÿvt
		wKQz cixÿv-wbixÿvi gva¨‡g GwU wbwðZ Kiv hvq| †hgb- Avëªvm‡bvMÖvg, Voiding cysto urethrography (VCUG), Urodynamic study.
	wPwKrmvt
		·	‡ekxifvM †ÿ‡ÎB e‡qvmwÜKv‡j GwU fvj n‡q hvq|
		·	cvqLvbv k³ n‡j Zvi wPwKrmv Kiv‡Z n‡e|
		·	cÖ¯ªve a‡i ivLv I mgq wb‡q cÖ¯ªve Kivi Af¨vm Ki‡Z n‡e|
		·	wKQz Jla A‡bK mgq mvnvh¨ Ki‡Z cv‡i|
		·	Lye Kg †ÿ‡ÎB Gi Rb¨ kj¨ wPwKrmvi cÖ‡qvRb n‡q _v‡K|
2)	ivÎxKvjxY g~‡Îi‡eM avi‡Y AÿgZv (Nocturnal Enuresis)
		R‡b¥i c‡i ev”Pv‡`i cÖ¯ªv‡ei †Kvb wbqš¿Y _v‡Kbv, Zviv me mgq cÖ¯ªve Ki‡Z _v‡K| wKš‘ 1-2 eQi eq‡m gw¯Í‡¯‹ ¯^vfvweK cwic°Zvi mv‡_ mv‡_ ev”Pv‡`i cÖ¯ªv‡ei wbqš¿Y cwic° nq Ges 3-4 eQi eq‡m ev”Pviv B‡”Q Abyhvqx cÖ¯ªve wbqš¿Y Ki‡Z cv‡i| 5 eQi eq‡m, w`‡bi I iv‡Zi †ejvq cÖ¯ªv‡ei wbqš¿Y cwic° nq, KviY G mgq gw¯Í¯‹ c~Y©Zv cÖvß nq| AwaKvsk wkï AvovB eQ‡ii g‡a¨ w`‡bi †ejvq Ges 5 eQ‡ii g‡a¨ iv‡Zi †ejvq weQvbvq cÖ¯ªve K‡i bv| wKš‘ K‡qKwU e¨wZµg Ae¯’vq wkï w`‡b I iv‡Z wbqš¿Y QvovB cÖ¯ªve K‡i _v‡K|   mvaviYZt 80-85 kZvsk ev”Pv 5 eQi eq‡mB ivÎxKvjxY cÖ¯ªv‡ei †eM avi‡Y mÿg nq| 5 eQi ci evKx kZKiv 15 fvM wkïi g‡a¨ cÖwZ eQi kZKiv 15 fvM nv‡i iv‡Z cÖ¯ªve Gi wbqš¿b cÖwZwôZ nq| Zvi c‡iI †Q‡j-‡g‡q‡`i g‡a¨ mgvbycvwZK nv‡i 10/12 eQi eq‡m †`ix‡Z gw¯Í‡¯‹i c~Y©Zv, Mfxi wb`ªv, eskMZ KviY, cÖ¯ªv‡ei msµgb, gvbwmK Pvc I †QvU g~Î_wji Kvi‡Y iv‡Zi †ejvq weQvbvq cÖ¯ªv‡ei cÖeYZv jÿ¨ Kiv hvq|   mvaviYZ Gi Rb¨ †Kv cixÿv-wbixÿvi cÖ‡qvRb nq bv| Z‡e kvixwiK cixÿvq †Kvb ÎæwU `iv co‡j †m‡ÿ‡Î wKQz cixÿv Kivi cÖ‡qvRb n‡Z cv‡i|
	wPwKrmvt
		·	wPwKrm‡Ki wb‡`©‡k cwigvb gZ cvwb cvb Kiv, AwZwi³ ‡Kvgj cvbxq, wPwb, Pv-Kwd we‡Kj 4t00 Uvi ci cvb bv Kiv|
		·	iv‡Z Ny‡gi c~‡e© `yBevi cÖ¯ªve Kiv|
		·	ev”Pv‡K iv‡Z weQvbvq cÖ¯ªve Ki‡Z wbiærmvwnZ Kiv, mgq wb‡q cÖ¯ªv‡ei Af¨vm Kiv|
		·	cÖ¯ªv‡ei Rb¨ Wv‡qix‡Z wjwce× Kiv|
		·	Gjvg© e¨envi Kiv, ev”Pv‡K cyi¯‹…Z Kiv|
		·	GQvov wKQz Jla Gi wKQzw`b e¨envi GwU‡K wbqš¿Y Ki‡Z cv‡i|
3)	‡cvjvwKDwiqv (Pollakiuria)
		·	A¯^vfvweK fv‡e w`‡b NY NY cÖ¯ªve nq|
		·	cÖwZ 5-20 wgwbU ci ci cÖ¯ªve nq|
		·	mvaviYZt 5-6 eQ‡ii c~‡e© G mgm¨v nq|
		·	KviY Rvbv bvB, Z‡e, DwØMœZv †_‡K n‡Z cv‡i|
		·	GwU mvaviYZt wbR †_‡KB wVK n‡q hvq|
4)	nvm‡Z nvm‡Z cÖ¯ªve nIqv (Giggle incontinence)
		·	7-15 eQi eqmx †g‡q‡`i G †ivM n‡q _v‡K|
		·	nvm‡Z nvm‡Z nVvr cÖ¯ªve n‡q hvq|
		·	GwU mvaviYZ Ggwb‡ZB wVK n‡q hvq|
		·	cÖ¯ªve a‡i ivLvi cÖeYZv †_‡K weiZ _vK‡Z n‡e|