Pediatria pre prax 5/2001
Vyšetření a léčba dítěte s pomočováním
A child outfinding because of enuresis at urologists out-patients department Enuresis nocturna is seen after epidemiologic studies in 15 to 20 per cent in children of the age of 5 but in the age of 15 are 2 per cent of enuretics too. Incontinecy at the age, where the others have not such problem, is a serious psychosocial and health problem. Children with outlasting day- or night – enuresis should be outfinded by a pediatrists in cooperation with an urologists at the out-patients department when the child is in the age about 5. A difference will be provided however it deals in monosymptomatic enuresis nocturna or incontinence in children age especialy. A basic outfinding is noninvasive.: medical history, physical outfinding, urine outfinding, mictione portiones, uroflowmetric and nefrotic and urinary bladder sonography. In the case of pathologic findings showing a serious disfunction or inborn evolution defect of lower urine ways, we immediatly dispatch the patient to children urologist to spreading the outfinding. The basic treatment of enuresis are regime precautions, wake apparate involving, to complete the treatment by adiuretine, anticholinergic medicaments and other medicaments. The treatment of incontinence should be causal and based on the correct statement of the type of enuresis. A mutual co-operating of pediatrists, urologists, eventuelly of children urologists or nephrologists in the field of diagnosis and treatment could degree the number of outfinding and could lead to effective treatment of enuresis in children. Key words: incontinence in children, enuresis, diagnostics, treatment.
