Enuresis is the condition in which a child over the age of 5 wets the bed twice a week for at least 3 months, regardless of any organic disorder or disease. A child's acquisition of the habit of urination is related to the sufficient maturation of the bladder muscles and nerves. We expect a child in normal development to learn to hold urine by the age of 3-4.
The child gains daytime urinary control at the age of 2-3 and nighttime urinary control by the age of 3-4. However, while the parent's communication with the child, the attachment relationship, parental attitudes, and early toilet training damage the child's psychological development, it also negatively affects the maturation of the bladder muscles, and the child may continue to wet the bed even though he is over 4 years old.
For example, the parent; If the child is punished, imposes strict rules at home, does not spare any time for his child, does not approach his child with tolerance and compassion, if there is a constant conflict between the parents and forces the child to do this by rushing to toilet training, it is possible that his child will wet the bed.
In addition to these, many factors such as the overprotective attitude of the family, hereditary predisposition, loss of life in the family and similar traumatic situations may lead to the development of enuresis in the child.
For example; In a family with only one child, due to excessive attention given to the child, the child's development of skills and acquisition of important habits such as urinary control may be delayed. On the other hand, the reason for bedwetting, regardless of any psychological reason, may be related to the fact that the parent experienced this problem in his or her childhood. Or a natural disaster such as death, accident, migration, war or an earthquake that causes deep wounds in the soul may create a traumatic effect on the child and cause bedwetting.
Enuresis, that is, bedwetting, is seen in 2 types;
Enuresis, which is caused by the delay in the development of nerve and muscle control in the bladder and continues without a break since birth, is the primary type.
The secondary type is; It is a bedwetting condition that lasts for at least 6 months to 1 year after toilet training is completed and starts again after gaining urinary control.
Primary type enuresis is a condition that does not involve physical or psychological reasons, usually due to deep sleep and hereditary predisposition. It is bedwetting. Studies have shown that 75% of enuretic children, that is, children who wet the bed, also have bedwetting problems.
Secondary type enuresis is caused by the birth of a new sibling, moving to a new house, starting a long-term nursery at an early age, and divorce. Bedwetting is bedwetting that occurs in some situations of mental tension caused by trauma or fear.
There is no need to worry about bedwetting if the child is a happy and harmonious child and grows up in a peaceful environment within the family. Because if the child does not show any disorder in his behavior or psychological adjustment due to bedwetting, we can talk about deep sleep or hereditary predisposition. Because, in cases of bedwetting that is resistant to medication, the child may show other signs of incompatibility. These; These are situations in which various behavioral disorders such as stuttering, sleep disorders, tics, fecal incontinence, lying and stealing are observed together.
No matter what type of enuretic child the child is, the tolerant and empathetic approach of families to their child will be the most important step to solve this problem. . Solving the bedwetting problem in a shorter time and in a healthier way is actually related to the attitudes shown to the child. The more moderate, affectionate and normal the family approaches the child, the healthier and faster the problem can be resolved. If family; If he tries to solve the problem by scolding and humiliating his child, it should be known that; This attitude shown by the family only increases the severity of the problem and imposes a feeling of inferiority and guilt on the child.
“Did you wet your bed again, how many times did I tell you to hold your toilet, you never learned how to hold your toilet, are you doing it out of spite, I'm tired of it all.” Every word said like "Your friends learned how to change your sheets in the morning, but you didn't, look who gets wet like you" increases the severity of the child's bedwetting and causes permanent damage to the child's self-esteem.
If your parent is over 5 years old and If he still has a child who wets the bed, what he should never do is; not to offend his child. What he should do is to make the child feel his love and get help from a clinical psychologist without delay.
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