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ID:19800231
大小:1.13 MB
页数:60页
时间:2018-10-06
《小儿尿失禁及遗尿课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、小兒尿失禁及遺尿的照護及處置彰化基督教醫院戴慧龍DevelopmentofBladderControl(I)Before1-year-old:-Novoluntarycontrolofvoidingandhavelittlesensationofeitherfillingorvoiding.Thefirstyearoflife:-Developingsensation-Witnessbylevelsofdiscomfortwhenthebladderisfullandreliefwhentheyvoid.Developmento
2、fBladderControl(II)Before2-year-old-Numbersofvoidingepisodesperdaydecreasesfromabout20toaround10.2-4yearsofage(toddlers)-Todeveloptruebladdercontrol-ThefirstmanifestationofthiscontrolistheabilitytodeferthedesiretovoidDevelopmentofBladderControl(III)Preschoolers(4-6yea
3、rsofage)-Completelytrainedduringtheday-Occasionaldaytimewettingarenotunusual-Occasionalwetting(onceeveryfewweeks)shouldbetolerated.-IfoccursonceperweekEvaluationDevelopmentofBladderControl(IV)Normalschool-agechildren-Shouldhaveuniformdaytimecontinence-Shouldbeabletoc
4、onformtoschoolschedulesandvoidatthetimesapproximatewiththeirpeers-Recurrentdaytimewettingisalwaysabnormalanddeservesmedicalattention.ThegeneralorderofdevelopmentofurineandfecalcontinenceNighttimefecalcontrolDaytimefecalcontinenceDaytimeurinarycontinenceNighttimeurinar
5、ycontinenceIncontinenceisalsocalledEnuresisPrimaryenuresisreferstowettinginapersonwhohasneverbeendryatleast6months.Secondaryenuresisreferstowettingthatbeginsafteratleast6monthsofdryness.Nocturnalenuresisreferstowettingthatusuallyoccursduringsleep(nighttimeincontinence
6、)Diurnalenuresisreferstowettingwhenawake(daytimeincontinence).尿床-身體的自動淨水處理廠出狀況了!突然發生的尿床,只有在太累、不舒服或經歷令人難過的事時才會尿床者,稱為短暫性尿床(Transientwetting)幾乎每晚都會發生的尿床,稱為持續性尿床(Persistentwetting)一個晚上尿床好幾次,稱為多發性尿床(Multiplewetting)不論白天或晚上都會尿床,稱為混合型尿床(Bedwettingwithassociateddaywetting)Cau
7、sesofChildhoodIncontinenceBladderoutletobstructionConstipationDetrusorinstabilityDiabetesmellitusDiabetesinsipidusEctopicureterInfectionNeurogenicbladderSleepdisorderPsychologicstressVaginitisNeurogeniccausesofIncontinenceCongenitalSpinaldysraphismTetheredcordsyndrome
8、AcquiredSpinalcordtumorsPelvicsurgeryTransversemyelitisSpinalcordinjuryWhatCausesNighttimeIncontinence?Afterage5atnight.More
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