Nocturnal Enuresis, A Brief Review

Nocturnal Enuresis, A Brief Review


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نویسندگان: افشین قلعه گلاب بهبهانی

عنوان کنگره / همایش: کنگره تازه های کودکان ونوزادان , Iran (Islamic Republic) , تبریز , 2017

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نویسنده ثبت کننده مقاله افشین قلعه گلاب بهبهانی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات سلامت کودکان
کد مقاله 68835
عنوان فارسی مقاله Nocturnal Enuresis, A Brief Review
عنوان لاتین مقاله Nocturnal Enuresis, A Brief Review
نوع ارائه سخنرانی
عنوان کنگره / همایش کنگره تازه های کودکان ونوزادان
نوع کنگره / همایش ملی
کشور محل برگزاری کنگره/ همایش Iran (Islamic Republic)
شهر محل برگزاری کنگره/ همایش تبریز
سال انتشار/ ارائه شمسی 1396
سال انتشار/ارائه میلادی 2017
تاریخ شمسی شروع و خاتمه کنگره/همایش 1396/05/05 الی 1396/05/06
آدرس لینک مقاله/ همایش در شبکه اینترنت https://www.tbzmed.ac.ir/News/4500/-%d8%af%d9%88%d9%85%db%8c%d9%86-%da%a9%d9%86%da%af%d8%b1%d9%87-%d8%aa%d8%a7%d8%b2%d9%87-%d9%8
آدرس علمی (Affiliation) نویسنده متقاضی Pediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, IRAN

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افشین قلعه گلاب بهبهانیاول

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کلمات کلیدیNocturnal Enuresis
خلاصه مقالهIntroduction: Nocturnal Enuresis (NE) is defined as spontaneous voiding during sleep at least twice a week in a child five years or older. NE has an age-related prevalence that is about 15-20% at five years of age (M/F=1) declining to 1-3% at adolescence (M/F=2). Discussion: NE is an especially common problem with the potential to have an appreciable negative impact on the emotional health of a child and his or her family. It is traditionally subdivided into primary (PNE: 80%, bed-wetting in a child who has never been dry) and secondary (SNE: 20%, bed-wetting in a child who has had at least six months of nighttime dryness) forms. NE is also divided into monosymptomatic (MNE) and polysymptomatic (PNE) forms. MNE is defined as present when the child does not have any associated voiding symptom when awake such as frequency, urgency, daytime incontinence or encopresis. NE is not simply a single disease, but should be regarded as a group of conditions with different etiologies, including: a disorder of sleep arousal, a low nocturnal bladder capacity, and nocturnal polyuria that their contribution together will result in nocturnal enuresis. Constipation and cystitis are also common and often undiagnosed factors that significantly affect bladder function and capacity. Treatment of any single patient should be aimed at those conditions that are diagnosed as preliminary causes. 1- An enuresis alarm is effective in children with monosymptomatic nocturnal enuresis; 2- Dry-bed training and bladder training alone are not recommended to treat primary nocturnal enuresis. 54 3- Desmopressin (DDAVP) is mostly recommended for children with monosymptomatic enuresis who have nocturnal polyuria and normal bladder capacity. 4- Anticholinergics are useful in children with urgency, restricted bladder capacity from detrusor hyperactivity at night, and combined daytime wetting and nocturnal incontinence and in children who do not respond to desmopressin (DDAVP). 5- Constipation should be treated with a laxative such as polyethylene glycol. Conclusion: Multidimensional strategies: to improve arousal (by Behavioral therapy / Bedwetting-alarm therapy), to reduce nocturnal polyuria, to resolve constipation, and to increase functional bladder capacity can result in the resolution of nocturnal enuresis.

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Congress of Children and Neonates Update, Tabriz, 2017.pdf1398/06/182787593دانلود
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