Volume 03 Issue 02-2023
64
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
02
P
AGES
:
64-68
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
ABSTRACT
These analyzes of the study on the methodology for diagnosing nocturnal enuresis in children and adolescents are
given and the causes and circumstances diagnosed by modern technologies are considered. Nocturnal enuresis,
Research Article
CURRENT STATUS OF DIAGNOSTICS OF NOCTURAL ENUREZIS IN
CHILDREN AND ADOLESCENTS”
Submission Date:
February 18, 2023,
Accepted Date:
February 23, 2023,
Published Date:
February 28, 2023
Crossref doi:
https://doi.org/10.37547/ijmscr/Volume03Issue02-13
J.A. Djuraev
Tashkent Medical Academy, Uzbekistan
N.A. Akhundjanov
Tashkent Medical Academy, Uzbekistan
B.K. Narmurotov
Tashkent Medical Academy, Uzbekistan
P.B. Aibatova
Kimyo International University In Tashkent, Uzbekistan
A.T. Esbergenova
Kimyo International University In Tashkent, Uzbekistan
Sh.A. Zakirova
Kimyo International University In Tashkent, Uzbekistan
D.O. Ismoilova
Kimyo International University In Tashkent, Uzbekistan
D.T. Khakimova
Kimyo International University In Tashkent, Uzbekistan
Journal
Website:
https://theusajournals.
com/index.php/ijmscr
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
Volume 03 Issue 02-2023
65
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
02
P
AGES
:
64-68
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
involuntary urination during sleep in a child who is already able to control his physiological needs for it, occurs
frequently 5-17% depending on age.[1]
KEYWORDS
Enuresis, urination, physiological needs, OSAS.
INTRODUCTION
Enuresis is a common childhood disease characterized
by the inability of the child to control the act of
urination
(involuntary
urination),
resulting
in
psychological discomfort. Urinary incontinence occurs
in both children and adolescents, while enuresis can
occur both during the day and at night. According to
official statistics, 20% of children aged 5 years, 10-15% of
children aged 10 years and at least 3% of adolescents
suffer from various forms of urinary incontinence.
Types of enuresis: primary and secondary.[2]
Primary nocturnal enuresis is considered as a
heterogeneous condition, the reasons for the
development and maintenance of which are: unformed
habits of neatness, impaired daily secretion of
antidiuretic hormone and a high threshold for
awakening from sleep. Secondary enuresis is
associated with endocrine disorders (diabetes
mellitus), use of diuretic substances (caffeine), urinary
tract pathology (infections), encopresis, obstructive
sleep apnea, psychosocial stress (family problems).[2]
Methods for the treatment of nocturnal enuresis: for
many years, various groups of drugs have been used in
the treatment of nocturnal enuresis: tranquilizers with
a
hypnotic
effect,
anxiolytics
(medazepam,
hydroxyzine,
trimetosine,
meprobamate),
CNS
stimulants and thymoleptic drugs (imipramine),
nootropic and metabolic drugs actions (hopantenic
acid, glycine).
Non-drug therapy: physiotherapy, magnetotherapy,
laser therapy, music therapy and psychotherapy - only
for children with a normal level of intelligence.
Neurodietological approaches to the treatment of
enuresis: limiting fluid intake in the afternoon, there is
also limited experience with a low-Ca diet.
Neurourology is one of the areas of modern science
that unites the areas of interest of neurologists and
urologists.
Results and discussion: According to the researchers:
Data on the prevalence of nocturnal enuresis indicate
that there is a very wide range of fluctuations in the
frequency of this disease in the population - from 2.3 to
28%. On average, the frequency of enuresis in children
is 7-12%, among them more than 40% have episodes of
nocturnal enuresis more than once a week. This can be
explained by the unequal frequency of the disease in
children of different age group [3].
Volume 03 Issue 02-2023
66
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
02
P
AGES
:
64-68
SJIF
I
MPACT
FACTOR
(2021:
5.
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)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
Age
4-5 y.
20 %
5-8 y.
10-14 %
8-12 y.
6-11 %
12-15- y.
3,0-3,6 %
15-20 y.
3 %
It has been shown that in 15-17% of children
spontaneous recovery occurs by adolescence, only 3%
of the symptoms of the disease persist until the age of
20.[3] In boys, bedwetting is more common than in
girls. Until the age of 9, there are no big differences
between boys and girls in the frequency of
bedwetting, girls older than 9 years are much less likely
to suffer from nocturnal enuresis than boys, but after
13 years the differences disappear again. Enuresis in
children living in orphanages is 20% more common than
among the same age group of children living at home
[3].
According to the researchers, a greater frequency of
nocturnal enuresis occurs in children in developing
countries than in developed countries, and in families
with low socioeconomic affluence. However, it should
be noted that in most of the surveyed families, where
children suffered from nocturnal enuresis, 70% had
good material and living conditions, and 30% had
satisfactory ones. There are no differences in the
frequency of bedwetting in children living in urban and
rural areas. Parental education usually does not affect
the incidence of nocturnal enuresis, but more often
nocturnal enuresis is found in children whose mothers
had a low education [5].
According to the researchers, a greater frequency of
nocturnal enuresis occurs in children in developing
countries than in developed countries, and in families
with low socioeconomic affluence. However, it should
be noted that in most of the surveyed families, where
children suffered from nocturnal enuresis, 70% had
good material and living conditions, and 30% had
satisfactory ones. There are no differences in the
frequency of bedwetting in children living in urban and
rural areas. Parental education usually does not affect
the incidence of nocturnal enuresis, but more often
nocturnal enuresis is found in children whose mothers
had a low education.
Breastfeeding a baby for more than three months
reduces the risk of nocturnal enuresis.
As a result of research, it became known that nocturnal
enuresis can also be one of the first symptoms of
somatic diseases. For example, diabetes mellitus:
when examining children with diabetes mellitus at the
age of 15, 27% of children had nocturnal enuresis, with
insulin treatment, the frequency of bedwetting
decreased to 7.9%.
Volume 03 Issue 02-2023
67
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
02
P
AGES
:
64-68
SJIF
I
MPACT
FACTOR
(2021:
5.
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)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
Primary
nocturnal
enuresis
80-94 %
Secondary
nocturnal
enuresis
20-25 %
nocturnal with daytime
enuresis
15-20 %
4,5 y. – 15,5 %
9 y. – 4,9 %
According to the time of occurrence, primary and
secondary nocturnal enuresis are distinguished.
Primary nocturnal enuresis occurs at an early age.
Secondary is diagnosed when the child has acquired
the skill of independent urination, if the child had a
period of up to 3-6 months when there were no
episodes of bedwetti.
According to the author, girls suffer more often from
secondary enuresis. The occurrence of secondary
enuresis is based on stressful situations in the family,
dysfunction of the bladder, constipation, urinary tract
infections, a sharp decrease or complete cessation of
breathing during a night's sleep, and diabetes. Half of
all cases of secondary enuresis occur in children aged 2
to 4 years and older than 12 years of age, often as a
result of illness or stress. These manifestations are
more often observed in a child who was born first in
the family. With age, the frequency of primary
nocturnal urinary incontinence decreases and the
number of children suffering from secondary enuresis
increases.
According to researchers, children with primary
nocturnal enuresis are more likely to recover by
adolescence than children with secondary nocturnal
enuresis. In the article: according to A.A. Gavrilina ,
children with nocturnal enuresis revealed similar
personality traits, regardless of the nature of the
organic basis for the occurrence of enuresis. Children
with enuresis, as a rule, are socially adapted. They have
low anxiety, a high degree of need to conform to social
stereotypes, and high extrover Since bedwetting
occurs during sleep, researchers are trying to explain
enuresis as a sleep disorder. It became known that 36%
of healthy newborns wake up before urination, and
64% of children emit urine during REM sleep, which is
accompanied by div movement, EEG changes, and
heart rate.
CONCLUSION
Based on the above data, we concluded that nocturnal
enuresis is more common in boys than in girls. One of
the problems of identifying this disease may be a
psychic attack from relatives.
REFERENCES
1.
Морозов, В. И., БАЙБИКОВ, Р. С., & Закиров,
А. К. (2022). ПРИНЦИПЫ ПОДБОРА ТЕРАПИИ
ЭНУРЕЗА У ДЕТЕЙ И ПОДРОСТКОВ.
Volume 03 Issue 02-2023
68
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
02
P
AGES
:
64-68
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
2.
Студеникин, В. М. Проблема ночного энуреза
у детей: обзор литературы (2012–
2013)
Рассмотрены
физиологические
аспекты
мочеиспускания,
а
также
географические/эпидемиологические
особенности и некоторые этиологические
факторы ночного энуреза у детей.
3.
3.
Кузнецова, А. А. (2012). Ночной
энурез у детей. Нефрология, 16 (3
-2), 16-
24.
4.
Никитин, С. С., Гусева, Н. Б., Колодяжная, А.
В., Крапивкин, А. И., &
Хлебутина, Н. С. (2020).
Enuresis nocturna у детей и подростков:
обзор
современной
литературы
и
перспективы лечения с использованием
десмопрессина. Pediatriya named after GN
Speransky, 99(3).
5.
Захарова, И. Н., Мумладзе, Э. Б., &
Пшеничникова, И. И. (2017). Энурез в
практике педиатра. Медицинский совет, (1),
172-179.
