Çocuklarda idrar enkontinansı Çağrılı Editör

Öz

İdrar enkontinansı çocukluk çağında sık karşılaşılan bir sorundur ve istemsiz idrar kaçırma olarak tanımlanır Bilinen en önemli nedenleri; mesanenin olgunlaşmasındaki yetersizlik tuvalet eğitimi sırasındaki yanlış davranışlar idrar yolu enfeksiyonları alt üriner sisteme ait anatomik bozukluklar ve sinirsel sorunlardır Çocukluk çağında sinirsel olmayan nedenlere bağlı idrar kaçırmalar daha sıktır İşeme bozukluğunun idrar yolu enfeksiyonu ve vezikoüreteral reflü ile ilişkisi iyi bilinmektedir Etiolojinin ve doğru tedavi seçeneğinin belirlenebilmesi için ayrıntılı değerlendirme gerekmektedir Türk Ped Arş 2007; 42: 133 5 Anahtar kelimeler: Çocukluk çağı enürezis idrar enkontinansı

Anahtar Kelimeler

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Urinary incontinence in children Invited Editor

Abstract

Urinary incontinence which is defined as the involuntary loss of urine is a very common clinical problem in childhood Its etiology includes delayed bladder control effects of environmental and social factors on toilet training urinary tract infection anatomic abnormalities of lower urinary tract and neurogenic disorders The more common cause of childhood urinary incontinence is non neurogenic abnormalities classified as anatomic abnormalities or bladder dysfunction Voiding dysfunction is associated with vesicoureteral reflux and urinary infection Diagnostic evaluation is essential to differentiate the causes of urinary incontinence and to determine the best therapy nbsp; Turk Arch Ped 2007; 42: 133 5 Key words: Childhood enuresis urinary incontinence

Keywords

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Kaynakça

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10. Tablo 2. İlaçla tedavide tercih edilecek ilaçlar ve dozları İlaçlar Doz En yüksek doz Antikolinerjikler Oxybutynin chloride Tolterodine tartrate ,2 mg/kg/gün ,02 mg/kg/gün ,6mg/kg/gün mg 2 kez Alfa adrenerjik blokerler Prazosin Doxazosin ,1mg/kg/gün ,5 mg ,5 mg/kg/gün –2 mg Antibiyotikler (profilaksi) Nitrofurantoin TMP-SMX Cefixime mg/kg/doz mg/kg/doz (TMP) mg/kg/doz mg/doz mg/doz mg/doz Kabızlık tedavisi Polyethylene glycol Lactulose Mineral yağlar <5 yaş; 8,5 gr, >5yaş: 16gr ml, po 2 yemek kaşığı