{"id":2937,"date":"2015-06-25T19:31:15","date_gmt":"2015-06-25T19:31:15","guid":{"rendered":"http:\/\/pipi-stop.version-demo.ch\/?page_id=2937"},"modified":"2021-03-30T09:42:27","modified_gmt":"2021-03-30T09:42:27","slug":"bisogna-trattare","status":"publish","type":"page","link":"https:\/\/www.pipi-stop.ch\/it\/pipi-a-letto\/bisogna-trattare\/","title":{"rendered":"Bisogna curare l&#8217;enuresi?"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; module_id=&#8221;h3-petit&#8221; module_class=&#8221;main-h1-title&#8221; _builder_version=&#8221;3.22&#8243; background_color=&#8221;#ffffff&#8221; transparent_background=&#8221;off&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;h1&#8243; _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; text_orientation=&#8221;center&#8221; module_alignment=&#8221;center&#8221;]<\/p>\n<h1>Bisogna curare l&#8217;enuresi?<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; column_structure=&#8221;3_4,1_4&#8243;][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Texte&#8221; _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;]<\/p>\n<p class=\"csc-default\">Anche se nella\u00a0maggior parte dei casi l&#8217;enuresi notturna non\u00a0\u00e8 provocata\u00a0da disturbi psichici o da problematiche educative, a lungo termine potrebbe\u00a0creare problemi\u00a0al bambino.<\/p>\n<p class=\"align-justify\">Sentirsi diversi dagli altri e\u00a0non poter partecipare ad\u00a0alcune attivit\u00e0 (andare in gita\u00a0con la scuola, dormire da un amico, ecc.) possono causare\u00a0una perdita di autostima.<\/p>\n<p class=\"align-justify\">Ci\u00f2 rischia di\u00a0provocare un circolo vizioso di\u00a0mancanza di motivazione che potrebbe ripercuotersi in altri settori della\u00a0vita del bambino. Un&#8217;enuresi notturna\u00a0non\u00a0trattata pu\u00f2 dunque dare luogo a\u00a0problemi psicologici.<\/p>\n<p class=\"align-justify\">Vi consigliamo\u00a0consultare il vostro medico di fiducia se\u00a0vostro figlio\u00a0fa regolarmente la pip\u00ec a letto dopo i 5 anni. Il medico potr\u00e0 individuare le cause dell&#8217;enuresi e orientavi al trattamento adeguato.<\/p>\n<p><strong><a href=\"https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/10\/Prof-Guignard_Aide-enuresie_IT.pdf\" target=\"_blank\" rel=\"noopener\">Aiuto in caso di enuresi (pip\u00ec a letto)<\/a><\/strong>, <em>Fonte: Dr. med. Jean-Pierre Guignard, Professore onorario di Nefrologia pediatrica, Universit\u00e0 di Losanna<\/em><br \/>\n[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/04\/Lapin-sous-coussin-4.jpg&#8221; align_tablet=&#8221;center&#8221; align_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;Image&#8221; _builder_version=&#8221;3.23&#8243; animation_style=&#8221;slide&#8221; animation_direction=&#8221;right&#8221; animation_duration=&#8221;500ms&#8221; animation_intensity_slide=&#8221;10%&#8221; animation=&#8221;right&#8221; sticky=&#8221;off&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider color=&#8221;#c4c4c4&#8243; disabled_on=&#8221;on|on|off&#8221; admin_label=&#8221;S\u00e9parateur&#8221; module_id=&#8221;vergleich&#8221; _builder_version=&#8221;3.2&#8243;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Texte&#8221; _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; text_orientation=&#8221;center&#8221; module_alignment=&#8221;center&#8221;]<\/p>\n<h2>Attualmente si utilizzano due tipi di terapie per\u00a0curare l&#8217;enuresi<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; column_structure=&#8221;1_2,1_2&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2014\/12\/alarme-enfant_32.jpg&#8221; align_tablet=&#8221;center&#8221; align_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;Image&#8221; _builder_version=&#8221;3.23&#8243; animation=&#8221;off&#8221; sticky=&#8221;off&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2014\/12\/pillules.jpg&#8221; align_tablet=&#8221;center&#8221; align_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;Image&#8221; _builder_version=&#8221;3.23&#8243; animation=&#8221;off&#8221; sticky=&#8221;off&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; column_structure=&#8221;1_2,1_2&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Texte&#8221; _builder_version=&#8221;4.9.0&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3>T<strong>rattamento comportamentale con\u00a0sistema di\u00a0allarme\u00a0<\/strong>(Pip\u00ec-Stop)<\/h3>\n<p>Grazie\u00a0al sistema di\u00a0allarme (apparecchio Pip\u00ec-Stop)\u00a0la capacit\u00e0 di trattenere la pip\u00ec\u00a0viene allenata in modo naturale. Il bambino acquisisce il riflesso\u00a0a trattenere l&#8217;urina, la capacit\u00e0 della vescica aumenta e l&#8217;urina\u00a0diventa pi\u00f9\u00a0concentrata (<strong><a href=\"https:\/\/www.pipi-stop.ch\/it\/pipi-a-letto\/studi#lenoir\" target=\"_blank\" rel=\"noopener\">l&#8217;opinione del Prof. G\u00e9rard Lenoir<\/a><\/strong>).<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Texte&#8221; _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;]<\/p>\n<h3>T<strong>rattamento\u00a0farmacologico con il principio attivo desmopressina<\/strong><\/h3>\n<p>Viene somministrata sotto forma di pastiglie. Si tratta di un ormone antidiuretico (ADH) che pu\u00f2 ridurre la produzione di urina durante il sonno.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; column_structure=&#8221;1_2,1_2&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_counters admin_label=&#8221;Compteur barre&#8221; _builder_version=&#8221;3.0.87&#8243; background_color=&#8221;#dddddd&#8221; custom_padding=&#8221;|||&#8221; custom_padding_tablet=&#8221;|||&#8221; custom_padding_phone=&#8221;|||&#8221; custom_padding_last_edited=&#8221;off|desktop&#8221;][et_pb_counter percent=&#8221;90&#8243; _builder_version=&#8221;3.0.47&#8243; background_color_default=&#8221;#dddddd&#8221; background_enable_color_default=&#8221;on&#8221; parallax_default=&#8221;off&#8221; parallax_method_default=&#8221;on&#8221; bar_background_color_default=&#8221;#00579f&#8221; use_percentages=&#8221;on&#8221; allow_player_pause_default=&#8221;off&#8221;]Percentuale di successo[\/et_pb_counter][et_pb_counter percent=&#8221;5&#8243; _builder_version=&#8221;3.0.47&#8243; background_color_default=&#8221;#dddddd&#8221; background_enable_color_default=&#8221;on&#8221; parallax_default=&#8221;off&#8221; parallax_method_default=&#8221;on&#8221; bar_background_color_default=&#8221;#00579f&#8221; use_percentages=&#8221;on&#8221; allow_player_pause_default=&#8221;off&#8221;]Ricadute[\/et_pb_counter][et_pb_counter _builder_version=&#8221;3.0.47&#8243; background_color_default=&#8221;#dddddd&#8221; background_enable_color_default=&#8221;on&#8221; parallax_default=&#8221;off&#8221; parallax_method_default=&#8221;on&#8221; bar_background_color_default=&#8221;#00579f&#8221; use_percentages=&#8221;on&#8221; allow_player_pause_default=&#8221;off&#8221;]Effetti collaterali[\/et_pb_counter][\/et_pb_counters][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_counters bar_bg_color=&#8221;#f68e00&#8243; admin_label=&#8221;Compteur barre&#8221; _builder_version=&#8221;3.0.87&#8243; background_color=&#8221;#dddddd&#8221; custom_padding=&#8221;|||&#8221; custom_padding_tablet=&#8221;|||&#8221; custom_padding_phone=&#8221;|||&#8221; custom_padding_last_edited=&#8221;off|desktop&#8221;][et_pb_counter percent=&#8221;65&#8243; _builder_version=&#8221;3.0.47&#8243; background_color_default=&#8221;#dddddd&#8221; background_enable_color_default=&#8221;on&#8221; parallax_default=&#8221;off&#8221; parallax_method_default=&#8221;on&#8221; bar_background_color_default=&#8221;#f68e00&#8243; use_percentages=&#8221;on&#8221; allow_player_pause_default=&#8221;off&#8221;]Tasso di successo[\/et_pb_counter][et_pb_counter percent=&#8221;50&#8243; _builder_version=&#8221;3.0.47&#8243; background_color_default=&#8221;#dddddd&#8221; background_enable_color_default=&#8221;on&#8221; parallax_default=&#8221;off&#8221; parallax_method_default=&#8221;on&#8221; bar_background_color_default=&#8221;#f68e00&#8243; use_percentages=&#8221;on&#8221; allow_player_pause_default=&#8221;off&#8221;]Ricadute[\/et_pb_counter][et_pb_counter percent=&#8221;7&#8243; _builder_version=&#8221;3.0.47&#8243; background_color_default=&#8221;#dddddd&#8221; background_enable_color_default=&#8221;on&#8221; parallax_default=&#8221;off&#8221; parallax_method_default=&#8221;on&#8221; bar_background_color_default=&#8221;#f68e00&#8243; use_percentages=&#8221;on&#8221; allow_player_pause_default=&#8221;off&#8221;]Effetti collaterali[\/et_pb_counter][\/et_pb_counters][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider color=&#8221;#c4c4c4&#8243; disabled_on=&#8221;on|on|off&#8221; admin_label=&#8221;S\u00e9parateur&#8221; _builder_version=&#8221;3.2&#8243;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Texte&#8221; _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; text_orientation=&#8221;center&#8221; module_alignment=&#8221;center&#8221;]<\/p>\n<h2>I vantaggi del trattamento con il sistema di allarme<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; column_structure=&#8221;1_2,1_2&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Texte&#8221; _builder_version=&#8221;4.9.0&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;]<\/p>\n<div class=\"togglebox-summary-box\">\n<h3>Efficacia<\/h3>\n<\/div>\n<div class=\"togglebox-collapse-box\">\n<div class=\"togglebox-summary-box\">\n<p class=\"align-justify\">Numerosi pediatri attestano che il sistema di\u00a0allarme \u00e8 di gran lunga il metodo pi\u00f9 efficace per il trattamento dell&#8217;enuresi ed \u00e8 anche quello\u00a0con cui si\u00a0riscontra il minor numero di ricadute dopo l&#8217;utilizzo.<\/p>\n<\/div>\n<div class=\"togglebox-collapse-box\">\n<p class=\"align-justify\">Per trattare l&#8217;enuresi notturna, l&#8217;orientamento attuale dei medici \u00e8\u00a0proporre un metodo basato sull&#8217;apprendimento anzich\u00e9 fare ricorso ai farmaci. <a class=\"download\" href=\"https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/06\/ANAES-tableau-comparatif.pdf\" target=\"_blank\" rel=\"noopener\">Lo studio francese ANAES<\/a>, realizzato nel 2003, ha valutato l&#8217;efficacia, la sicurezza e l&#8217;aspetto economico dell&#8217;utilizzo dei sistemi d&#8217;allarme nel trattamento dell&#8217;enuresi notturna, comparandoli con il trattamento\u00a0a base di\u00a0ormone antidiuretico (desmopressina).<\/p>\n<p class=\"align-justify\">Questo studio (ANAES, p. 37) ha\u00a0evidenziato che, anche\u00a0se la desmopressina ha una certa efficacia durante il periodo del trattamento, i suoi effetti svaniscono rapidamente quando si\u00a0smette di assumere il farmaco\u00a0e che, a lungo termine,\u00a0il trattamento con l&#8217;allarme\u00a0risulta pi\u00f9 efficace: il 50% dei pazienti trattati con desmopressina ha registrato ricadute dopo\u00a0la fine della cura, a fronte del 5% nei bambini trattati con il sistema di allarme.<\/p>\n<p class=\"align-justify\">Secondo lo <a class=\"download\" href=\"https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/04\/Cochrane-Corner.pdf\" target=\"_blank\" rel=\"noopener\">studio Cochrane<\/a>, la ricaduta \u00e8 9 volte meno probabile con il sistema d&#8217;allarme Pip\u00ec-Stop\u00a0rispetto all&#8217;ormone antidiuretico.<\/p>\n<p><strong><a href=\"https:\/\/www.pipi-stop.ch\/it\/pipi-a-letto\/studi\/\" target=\"_blank\" rel=\"noopener\">Vedi i vari studi<\/a><\/strong><\/p>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Texte&#8221; _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;]<\/p>\n<h3>Sicurezza<\/h3>\n<p class=\"align-justify\">I sistemi di allarme (pip\u00ec-stop) non provocano effetti collaterali.<\/p>\n<p class=\"align-justify\">Con l&#8217;utilizzo dell&#8217;ormone antidiuretico, circa il 7% dei bambini trattati soffre di\u00a0effetti collaterali, in particolare cefalee, nausee, dolori addominali, eruzioni cutanee, ecc. In rari casi si \u00e8 riscontrata un&#8217;intossicazione provocata dall&#8217;acqua.<\/p>\n<p class=\"align-justify\">Gli ormoni antidiuretici in forma di\u00a0spray nasale per il trattamento dell&#8217;enuresi, gi\u00e0 ritirati in numerosi paesi europei, non\u00a0vengono pi\u00f9 proposti\u00a0in Svizzera a causa dei loro\u00a0notevoli effetti collaterali.<\/p>\n<p class=\"align-justify\"><strong><a href=\"https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/04\/ANAES_rapport-complet_enuresie.pdf\" target=\"_blank\" rel=\"noopener\">Vedi Studi<\/a> <\/strong>(ANAES, Francia: studio completo, p. 17)<\/p>\n<h3>Aspetti\u00a0economici<\/h3>\n<p class=\"align-justify\">In Svizzera, se compariamo\u00a0trattamenti della durata\u00a0di 3 mesi (basandoci su una dose media nel caso del farmaco), i costi legati all&#8217;utilizzo di pip\u00ec-stop sono chiaramente meno elevati.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bisogna curare l&#8217;enuresi? Anche se nella\u00a0maggior parte dei casi l&#8217;enuresi notturna non\u00a0\u00e8 provocata\u00a0da disturbi psichici o da problematiche educative, a lungo termine potrebbe\u00a0creare problemi\u00a0al bambino. Sentirsi diversi dagli altri e\u00a0non poter partecipare ad\u00a0alcune attivit\u00e0 (andare in gita\u00a0con la scuola, dormire da un amico, ecc.) possono causare\u00a0una perdita di autostima. Ci\u00f2 rischia di\u00a0provocare un circolo vizioso [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2933,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>[et_pb_section transparent_background=\"off\" background_color=\"#ffffff\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" module_class=\"main-h1-title\" module_id=\"h3-petit\"][et_pb_row][et_pb_column type=\"4_4\"][et_pb_text admin_label=\"h1\" background_layout=\"light\" text_orientation=\"center\"]<\/p><h1>\u00a0Muss man behandeln?<\/h1><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\"3_4\"][et_pb_text admin_label=\"Texte\" background_layout=\"light\" text_orientation=\"left\"]<\/p><div id=\"c308\" class=\"csc-default\">Auch wenn sich in den meisten F\u00e4llen das Bettn\u00e4ssen nicht aus der Erziehung oder einer psychologischen St\u00f6rung ergibt, kann es auf die L\u00e4nge das Kind belasten.<p class=\"align-justify\">Wenn es sich anders als die anderen Kinder f\u00fchlt, wenn es an gewissen Aktivit\u00e4ten nicht mehr teilnehmen kann (mit der Schule in ein Lager gehen, bei einem Freund oder einer Freundin \u00fcbernachten, usw.), kann dies zu einem Verlust an Selbstvertrauen f\u00fchren.<\/p><p class=\"align-justify\">Das Risiko besteht dann, dass Ihr Kind in eine Spirale der Entmutigung gelangt und dass sich dies auch auf andere Bereiche seines Lebens auswirkt. Eine n\u00e4chtliche Enuresis, die nicht behandelt wird, kann also psychologische Probleme ausl\u00f6sen.<\/p><p class=\"align-justify\">Wenn Ihr Kind nach seinem 5. Geburtstag noch regelm\u00e4ssig sein Bett n\u00e4sst, ist ein Arztbesuch empfohlen. Der Arzt kann die Ursachen der Enuresis Ihres Kindes feststellen und Sie \u00fcber die richtige Behandlung orientieren.<\/p><\/div><p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_4\"][et_pb_image admin_label=\"Image\" src=\"http:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/04\/Lapin-sous-coussin-4.jpg\" show_in_lightbox=\"off\" url_new_window=\"off\" animation=\"right\" sticky=\"off\" \/][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\"4_4\"][et_pb_divider admin_label=\"S\u00e9parateur\" color=\"#c4c4c4\" show_divider=\"on\" \/][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\"4_4\"][et_pb_text admin_label=\"Texte\" background_layout=\"light\" text_orientation=\"center\"]<\/p><h2>Zurzeit werden zwei Therapien f\u00fcr die Behandlung der Enuresis angewendet<\/h2><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\"1_2\"][et_pb_image admin_label=\"Image\" src=\"http:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2014\/12\/alarme-enfant_32.jpg\" show_in_lightbox=\"off\" url_new_window=\"off\" animation=\"off\" sticky=\"off\" \/][\/et_pb_column][et_pb_column type=\"1_2\"][et_pb_image admin_label=\"Image\" src=\"http:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2014\/12\/pillules.jpg\" show_in_lightbox=\"off\" url_new_window=\"off\" animation=\"off\" sticky=\"off\" \/][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\"1_2\"][et_pb_text admin_label=\"Texte\" background_layout=\"light\" text_orientation=\"left\"]<\/p><h3>Apparative Verhaltenstherapie (mit einem Pipi-Stop Weckapparat)<\/h3><p>Mit dem Weckapparat wird das Kontinenzsystem auf nat\u00fcrliche Weise trainiert. Das Kind lernt den Reflex seinen Urin zur\u00fcckzuhalten, die Kapazit\u00e4t der Blase wird gr\u00f6sser und der Urin konzentrierter. [\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_2\"][et_pb_text admin_label=\"Texte\" background_layout=\"light\" text_orientation=\"left\"]<\/p><h3>Medikament\u00f6se Behandlung mit dem Wirkstoff Desmopressin<\/h3><p>Er wird als Tabletten verabreicht. Es handelt sich um ein antidiuretisches Hormon (ADH), das die Urinmenge w\u00e4hrend des Schlafs reduzieren kann. [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\"1_2\"][et_pb_counters admin_label=\"Compteur barre\" background_layout=\"light\" background_color=\"#dddddd\" bar_bg_color=\"#00579f\"][et_pb_counter percent=\"90\"]Erfolgsraten[\/et_pb_counter][et_pb_counter percent=\"5\"]R\u00fcckf\u00e4lle[\/et_pb_counter][et_pb_counter percent=\"0\"]Nebenwirkungen[\/et_pb_counter][\/et_pb_counters][\/et_pb_column][et_pb_column type=\"1_2\"][et_pb_counters admin_label=\"Compteur barre\" background_layout=\"light\" background_color=\"#dddddd\" bar_bg_color=\"#f68e00\"][et_pb_counter percent=\"65\"]Erfolgsraten[\/et_pb_counter][et_pb_counter percent=\"50\"]R\u00fcckf\u00e4lle[\/et_pb_counter][et_pb_counter percent=\"7\"]Nebenwirkungen[\/et_pb_counter][\/et_pb_counters][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\"4_4\"][et_pb_divider admin_label=\"S\u00e9parateur\" color=\"#c4c4c4\" show_divider=\"on\" \/][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\"4_4\"][et_pb_text admin_label=\"Texte\" background_layout=\"light\" text_orientation=\"center\"]<\/p><h2>Die Vorteile der Therapie mit Weckapparat<\/h2><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\"1_2\"][et_pb_text admin_label=\"Texte\" background_layout=\"light\" text_orientation=\"left\"]<\/p><div class=\"togglebox-summary-box\"><h3>Wirkung<\/h3><p class=\"align-justify\">Viele Kinder\u00e4rzte best\u00e4tigen, dass zur Behandlung der Enuresis der Weckapparat bei weitem das wirksamste Mittel ist, und gleichzeitig auch das, welches am wenigsten R\u00fcckf\u00e4lle aufweist.<\/p><\/div><div class=\"togglebox-collapse-box\"><p class=\"align-justify\">Nach der aktuellen Tendenz, w\u00e4hlen die \u00c4rzte zur Behandlung der n\u00e4chtlichen Enuresis eher eine Methode, die auf einem Lernprozess basiert, anstatt Medikamente anzuwenden. <a href=\"http:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/06\/ANAES-tableau-comparatif.pdf\" target=\"_blank\">Die franz\u00f6sische Studie ANAES<\/a>, die 2003 abgeschlossen wurde, hat die Wirkung, die Sicherheit und die wirtschaftlichen Konsequenzen des Gebrauchs der Alarmsysteme (Weckapparate) in der Behandlung der n\u00e4chtlichen Enuresis im Vergleich zu deren durch das antidiuretische Hormon (Desmopressin) bewertet.<\/p><p class=\"align-justify\">Diese Studie (ANAES, S. 37) hat hervorgehoben, dass der Wirkstoff Desmopressin w\u00e4hrend der Behandlung eine gewisse Wirkung hat, aber dass diese beim Einstellen des Medikaments schnell nachl\u00e4sst und dass langfristig gesehen, der Weckapparat wirksamer ist: 50% der Patienten, die mit Dessmopressin behandelt wurden, verzeichneten R\u00fcckf\u00e4lle, im Gegensatz nur 5% f\u00fcr die mit dem Alarm (Weckapparat) behandelten Patienten.<\/p><p class=\"align-justify\">Laut <a href=\"http:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/04\/Cochrane-Corner.pdf\" target=\"_blank\">Cochrane Studie<\/a> ist mit dem Weckapparat die Wahrscheinlichkeit eines R\u00fcckfalls 9-mal geringer als mit dem antidiuretischen Hormon.<\/p><strong>Siehe die verschiedenen\u00a0<a href=\"http:\/\/www.pipi-stop.ch\/enuresis\/studien\/\">Studien<\/a><\/strong><\/div><p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_2\"][et_pb_text admin_label=\"Texte\" background_layout=\"light\" text_orientation=\"left\"]<\/p><h3>Sicherheit<\/h3><p class=\"align-justify\">Der Weckapparat verursacht keine Nebenwirkungen.<\/p><p class=\"align-justify\">Mit dem antidiuretischen Hormon wurden bei ungef\u00e4hr 7% der behandelten Kindern Nebenwirkungen beobachtet, wie Kopfschmerzen, \u00dcbelkeit, Bauchschmerzen, Hautausschl\u00e4ge, etc. In sehr seltenen F\u00e4llen wurde eine Wasserintoxikation festgestellt.<\/p><p class=\"align-justify\">Das antidiuretische Hormon als Nasenspray (in vielen europ\u00e4ischen L\u00e4ndern schon l\u00e4nger vom Markt genommen) wird nun auch in der Schweiz wegen den betr\u00e4chtlichen Nebenwirkungen f\u00fcr die Behandlung des Bettn\u00e4ssens nicht mehr angeboten.<\/p><p class=\"align-justify\"><strong>Siehe <a href=\"http:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/04\/ANAES_rapport-complet_enuresie.pdf\" target=\"_blank\">Studie<\/a><\/strong> ANAES, Frankreich: vollst\u00e4ndige Studie, S. 17<\/p><h3>Wirtschaftliche Konsequenzen<\/h3><p class=\"align-justify\">In der Schweiz, im Vergleich zwischen einer 3-monatigen Behandlung (basierend auf einer durchschnittlichen t\u00e4glichen Dosis im Falle des Medikaments), ergibt sich folgendes Resultat: Die Behandlungskosten mit dem Weckapparat sind wesentlich geringer.<\/p><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-2937","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - 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