{"id":3570,"date":"2019-02-28T22:07:25","date_gmt":"2019-02-28T19:07:25","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=3570"},"modified":"2019-02-28T22:07:25","modified_gmt":"2019-02-28T19:07:25","slug":"cocuklarda-tuvalet-egitimi-ne-zaman-baslar","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/cocuklarda-tuvalet-egitimi-ne-zaman-baslar\/","title":{"rendered":"\u00c7ocuklarda tuvalet e\u011fitimi ne zaman ba\u015flar?"},"content":{"rendered":"

\u00c7ocuklar normal geli\u015fimleri s\u0131ras\u0131nda genellikle 2-3 ya\u015flar\u0131 aras\u0131nda mesane kontrol\u00fcn\u00fc kazanmaya ba\u015flarlar. Gece kontrol\u00fcn\u00fcn ise genellikle \u00fc\u00e7\u00fcnc\u00fc ya da d\u00f6rd\u00fcnc\u00fc y\u0131llar aras\u0131nda tamamland\u0131\u011f\u0131n\u0131 belirten \u00c7ocuk ve Ergen Psikiyatrisi Uzman\u0131 Dr. Figen Karaceylan \u00c7akmak\u00e7\u0131,<\/strong> \u201cAlt Islatma tan\u0131s\u0131 koymak i\u00e7in \u00e7ocuk en az 5 ya\u015f\u0131nda olmal\u0131, haftada en az 2 kez alt\u0131n\u0131 \u0131slatmal\u0131 ve diyabet, epilepsi gibi fiziksel bir hastal\u0131\u011f\u0131 olmamal\u0131\u201d a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n

\u00c7ocuklarda alt \u0131slatman\u0131n genetik, mesane sorunlar\u0131, geli\u015fimsel sorunlar, hormonal etkenler, uyku evreleri ile ilgili sorunlar ve idrar yolu enfeksiyonu gibi biyolojik etkenlerinin yan\u0131 s\u0131ra tuvalet e\u011fitimine erken ba\u015flama, kat\u0131 tuvalet e\u011fitimi, aile d\u00fczenindeki \u00f6nemli de\u011fi\u015fiklikler ve uzun s\u00fcre bez kullan\u0131lmas\u0131 gibi psikososyal etkilerinin de bulundu\u011funa dikkat \u00e7eken \u00c7ocuk ve Ergen Psikiyatrisi Uzman\u0131 Dr. Figen Karaceylan \u00c7akmak\u00e7\u0131,<\/strong> \u201c\u0130drar ka\u00e7\u0131rma, bebeklikten beri ka\u00e7\u0131rma ve en az 1 y\u0131l kuru kald\u0131ktan sonra yeniden ka\u00e7\u0131rmaya ba\u015flama olarak g\u00f6r\u00fclebilir\u201d dedi.<\/p>\n

Tuvalet e\u011fitiminin 2 bu\u00e7uk ya\u015f\u0131ndan sonra verilmesi<\/strong><\/p>\n

Tuvalet e\u011fitimine \u00e7ocu\u011fun mesane kaslar\u0131 \u00fczerindeki denetimini kazanmaya ba\u015flad\u0131\u011f\u0131 18-24 ay civar\u0131nda ba\u015flanmas\u0131n\u0131n daha uygun oldu\u011funu vurgulayan \u00c7ocuk ve Ergen Psikiyatrisi Uzman\u0131 Dr. Figen Karaceylan \u00c7akmak\u00e7\u0131, \u201cTuvalet e\u011fitimi i\u00e7in \u00e7ocukla i\u015f birli\u011fi yap\u0131lmal\u0131. E\u011fer \u00e7ocuk bez de\u011fi\u015ftirmeye diren\u00e7 g\u00f6stermiyor, bezi kirlendi\u011finde haber veriyorsa tuvalete belirli aral\u0131klarla g\u00f6t\u00fcr\u00fcl\u00fcp tuvaletini uygun yere yapmas\u0131 desteklenir. \u00c7ocuk tuvaletini s\u00f6ylemeye ba\u015flar ba\u015flamaz art\u0131k geceleri de bezsiz yat\u0131r\u0131labilir. Tuvalet e\u011fitimine 2,5 ya\u015f\u0131ndan sonra ba\u015flanmas\u0131 da alt \u0131slatma i\u00e7in zemin haz\u0131rlayabilir\u201d \u015feklinde konu\u015ftu.<\/p>\n

5-6 ya\u015f\u0131ndan \u00f6nce idrar ka\u00e7\u0131rma tedavisine ba\u015flamak nadiren gereklidir<\/strong><\/p>\n

\u00c7ocuklarda idrar ka\u00e7\u0131rmayla birlikte dil bozuklu\u011fu, motor gerilik gibi geli\u015fimsel bozukluklar\u0131n, uyku bozukluklar\u0131n\u0131n, dikkat eksikli\u011fi ve davran\u0131m bozuklu\u011funun, d\u0131\u015fk\u0131 ka\u00e7\u0131rman\u0131n ve anksiyete bozuklu\u011funun da g\u00f6r\u00fclebildi\u011fini s\u00f6yleyen \u00c7ocuk ve Ergen Psikiyatrisi Uzman\u0131 Dr. Figen Karaceylan \u00c7akmak\u00e7\u0131, \u201c5-6 ya\u015f\u0131ndan \u00f6nce tedaviye ba\u015flamak nadiren gereklidir. Tedavi y\u00f6nteminin se\u00e7imi bedensel etkenlere, \u00e7ocu\u011fun ya\u015f\u0131na, sorunun s\u0131kl\u0131\u011f\u0131na, sonu\u00e7lar\u0131na ve tedavinin aciliyetine g\u00f6re yap\u0131l\u0131r. \u00d6rne\u011fin; \u00e7ocu\u011fun g\u00fcnd\u00fcz saatlerinde \u00e7ama\u015f\u0131r\u0131n\u0131n damla \u015feklinde s\u00fcrekli \u0131slak olmas\u0131 dikkat eksikli\u011fi ve hiperaktivite bozuklu\u011funun \u00f6nemli bir belirtisi olabilir\u201d a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n

\u0130drar ka\u00e7\u0131rma tedavisinde birka\u00e7 teknik birlikte kullan\u0131labilir<\/strong><\/p>\n

\u0130drar ka\u00e7\u0131rma tedavisinde \u00e7e\u015fitli tekniklerden birka\u00e7\u0131n\u0131n birlikte kullan\u0131lmas\u0131n\u0131n \u00f6nerildi\u011fini belirten Dr. Figen Karaceylan \u00c7akmak\u00e7\u0131, \u201cBu teknikler kay\u0131t tutma ve \u00f6d\u00fcllendirme, s\u0131v\u0131 k\u0131s\u0131tlamas\u0131 ve gece uyand\u0131rma, mesane e\u011fitim egzersizleri, sfinkter e\u011fitim egzersizleri, aile ve \u00e7ocu\u011fa dan\u0131\u015fmanl\u0131k verilmesi ve ila\u00e7 tedavisi tekniklerinden birka\u00e7\u0131 kullan\u0131labilir\u201d dedi.<\/p>\n

Tuvalet e\u011fitimi 2 bu\u00e7uk ya\u015f\u0131ndan \u00f6nce verilmeli<\/strong><\/p>\n

Tuvalet e\u011fitimine \u00e7ocu\u011fun mesane kaslar\u0131 \u00fczerindeki denetimini kazanmaya ba\u015flad\u0131\u011f\u0131 18-24 ay civar\u0131nda ba\u015flanmas\u0131n\u0131n daha uygun oldu\u011funu vurgulayan \u00c7ocuk ve Ergen Psikiyatrisi Uzman\u0131 Dr. Figen Karaceylan \u00c7akmak\u00e7\u0131, \u201cTuvalet e\u011fitimi i\u00e7in \u00e7ocukla i\u015f birli\u011fi yap\u0131lmal\u0131. E\u011fer \u00e7ocuk bez de\u011fi\u015ftirmeye diren\u00e7 g\u00f6stermiyor, bezi kirlendi\u011finde haber veriyorsa tuvalete belirli aral\u0131klarla g\u00f6t\u00fcr\u00fcl\u00fcp tuvaletini uygun yere yapmas\u0131 desteklenir. \u00c7ocuk tuvaletini s\u00f6ylemeye ba\u015flar ba\u015flamaz art\u0131k geceleri de bezsiz yat\u0131r\u0131labilir. Tuvalet e\u011fitimine 2,5 ya\u015f\u0131ndan sonra ba\u015flanmas\u0131 da alt \u0131slatma i\u00e7in zemin haz\u0131rlayabilir\u201d \u015feklinde konu\u015ftu.<\/p>\n

Alt Islatman\u0131n nedenleri:<\/u><\/strong><\/p>\n

Biyolojik Etkenler<\/i><\/strong><\/p>\n

* Kal\u0131t\u0131m (Genetik)<\/p>\n

* Mesane sorunlar\u0131<\/p>\n

* Uyku evreleri ile ilgili sorunlar<\/p>\n

* Geli\u015fimsel sorunlar<\/p>\n

* Hormonal etkenler<\/p>\n

* \u0130drar yolu enfeksiyonu<\/p>\n

Psikososyal Etkenler<\/i><\/strong><\/p>\n

*Tuvalet e\u011fitimine erken ba\u015flama, kat\u0131 tuvalet e\u011fitimi ve anne-baban\u0131n uygunsuz veya kay\u0131ts\u0131z tutumlar\u0131<\/p>\n

* Uzun s\u00fcre bez kullan\u0131lmas\u0131<\/p>\n

*Aile d\u00fczenindeki \u00f6nemli de\u011fi\u015fiklikler (ailede \u00f6l\u00fcmler, ayr\u0131l\u0131klar, bo\u015fanma, ge\u00e7imsizlikler, hastal\u0131klar, karde\u015f do\u011fumu)<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00c7ocuklar normal geli\u015fimleri s\u0131ras\u0131nda genellikle 2-3 ya\u015flar\u0131 aras\u0131nda mesane kontrol\u00fcn\u00fc kazanmaya ba\u015flarlar. Gece kontrol\u00fcn\u00fcn ise genellikle \u00fc\u00e7\u00fcnc\u00fc ya da d\u00f6rd\u00fcnc\u00fc y\u0131llar aras\u0131nda tamamland\u0131\u011f\u0131n\u0131 belirten \u00c7ocuk ve Ergen Psikiyatrisi Uzman\u0131 Dr. Figen Karaceylan \u00c7akmak\u00e7\u0131, \u201cAlt Islatma tan\u0131s\u0131 koymak i\u00e7in \u00e7ocuk en az 5 ya\u015f\u0131nda olmal\u0131, haftada en az 2 kez alt\u0131n\u0131 \u0131slatmal\u0131 ve diyabet, epilepsi gibi […]<\/p>\n","protected":false},"author":80,"featured_media":2749,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3],"tags":[2802,29,2801,23,2201,69],"class_list":{"0":"post-3570","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cocuk","8":"tag-alt-islatmanin-nedenleri","9":"tag-bebek","10":"tag-bebeklerde-tuvalet-egitimi","11":"tag-cocuk","12":"tag-cocuklarda-tuvalet-egitimi","13":"tag-tuvalet-egitimi"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/07\/cocuk-tuvalet-egitimi.jpg?fit=1000%2C525&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/3570","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=3570"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/3570\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/2749"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=3570"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=3570"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=3570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}