Enurese (nattenurese)
Sist revidert:
Sist revidert av:Terje Johannessen
Definisjon:
Ufrivillig vannlatning under søvn uten at det foreligger skade på nervesystem eller urinveier. Primær eller sekundær. Skyldes umoden regulering av antidiuretisk hormon, problemer med å våkne eller lite blærevolum. Arv disponerer.
Forekomst:
Vanligst hos gutter. 8% av 4,5 år gamle barn og 1,5% av 9,5 år gamle barn har ≥ 2 våte netter per uke
Symptomer:
Det kan foreligge symptomer forenlig med søvnproblemer på grunn av regelmessig oppvåkning på natt
Funn:
Kliniske funn skal være normale, obs obstipasjon
Diagnostikk:
Ved tvil om diagnosen kan man utføre urinundersøkelser og måling av blærevolum
Behandling:
Består av enkel intervensjon med registrering av tørre/ våte netter, alarmmatte og eventuelt medikamenter som desmopressin
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- Statens legemiddelverk: "Fraråder desmopressin nesespray og -dråper mot sengevæting". Første gang publisert: 10.05.2007
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- Terje Johannessen, professor i allmennmedisin, Trondheim
- Ingard Løge, spesialist allmennmedisin, redaktør NEL
Tidligere fagmedarbeidere
- Kurt Østhuus Krogh, spesialist i barnesykdommer, Norsk Helseinformatikk/ Barne-og ungdomsklinikken, St. Olavs Hospital
- Arnfinn Seim, førsteamanuensis i allmennmedisin, Institutt for samfunnsmedisinske fag, Norges teknisk-naturvitenskapelige universitet, Trondheim
- Stein E Høyer, overlege barneavdelingen, Regionsykehuset i Tromsø