The expert came in: Is it sick for an eight-year-old girl to wet the bed?
There are two kinds of bed wetting for children. First, primary enuresis, also known as functional enuresis and physiological enuresis, commonly known as bedwetting, refers to the excretion of urine in bed during sleep, which occurs without the knowledge of the parties or in dreams, and only after waking up. Most of them are simple and persistent, that is, there are no other accompanying symptoms except bed wetting, no organic lesions, and the physical and chemical examination is in the normal range. Most people who wet the bed are junior. 2 ~ 4% children have enuresis symptoms, which can last until adulthood. The harm of enuresis is a psychological disorder caused by long-term damage to self-esteem. Second, secondary enuresis, also known as organic enuresis and pathological enuresis, can occur day and night, whether in bed or not, awake or not. In addition to bed wetting, there are other obvious clinical symptoms and pathological manifestations, mostly organic diseases, such as lower urinary tract obstruction, cystitis, neurogenic bladder (dysuria caused by neuropathy) and other diseases, which are mostly accompanied and transient, and can be improved with the improvement of other diseases. If it is primary enuresis, we should also know what type it is. According to the clinical characteristics of primary enuresis, the enuresis department of Banqiao Clinic in Jiangyin City divides the disease into four types, which is of reference value for choosing treatment schemes. Daytime frequent micturition type: frequent night crying, often ≥2 times, accompanied by daytime frequent micturition. The pathological mechanism is bladder dysuria. Awakening disorder: still sleeping after wetting, it is difficult to wake up, and there is no frequent urination during the day. The pathological mechanism is nerve conduction dysfunction. Nocturnal polyuria: polyuria at night, but few times of bed wetting, and no frequent urination during the day. The pathological mechanism is nocturnal dysfunction of antidiuretic hormone secretion. Mixed type: a. diurnal frequency+arousal disorder, b. diurnal frequency+nocturnal polyuria, c. arousal disorder+nocturnal polyuria. So far, there is no medicine without side effects and special effects at home and abroad, so the treatment of enuresis is considered to be a world problem. Enuresis not only puzzles patients, but also puzzles many doctors, because there is no drug with no side effects and special effects at home and abroad. It was originally thought that the treatment of enuresis was a difficult problem in the world. In recent two years, TENS (percutaneous neuromodulation) therapy has made important progress in the treatment of functional enuresis internationally, and made a breakthrough in the treatment effect. TENS (percutaneous neuromodulation) therapy is a physical therapy that has made important progress in the treatment of functional enuresis in recent years. In 2005, Jiangyin Electronic Relaxation Institute successfully developed a transcutaneous neuromodulation therapeutic instrument with China's independent intellectual property rights, such as ZY-A urine wet reminder and ZY-B enuresis therapeutic instrument suitable for about 5 years old; ZY-F enuresis therapeutic instrument suitable for children aged 6 ~ 9; Suitable for ZY-E enuresis therapeutic instrument of 9 ~ 12 years old; ZY-D enuresis therapeutic instrument is suitable for adult enuresis over 13 years old. Satisfied with nocturnal enuresis in adults or children, it can take effect on the same day. This is a personal self-help pocket enuresis therapeutic instrument, which is used with special underwear. The low-frequency pulse enuresis therapeutic instrument is based on the ordinary TENS therapeutic instrument, which is superimposed with a timing circuit and a crotch urine wetness sensor. The timing of treatment is automatic when the bladder is full at night, and the immediate effect has broken through. When in use, the miniature instrument is put into the small pocket of special underwear, the monitoring and treatment process is automatic all night, and there is no toxic side effect of drugs, which can avoid invasive pain such as acupuncture. It can not only achieve the purpose of percutaneous neuromodulation treatment in medical institutions, but also facilitate self-help treatment at home without leaving home. Sleep state is not only used for automatic acupoint physiotherapy, but also can automatically wake up in time more than nanny's "standing guard" to avoid wetting the bed on the first day. It has the advantages of quick response, small size, light weight, safety, reliability, convenient use, no radiation, no contraindications and no side effects of drugs. It is also effective for primary enuresis that is ineffective in drug treatment.