{"id":35109,"date":"2026-03-25T13:01:58","date_gmt":"2026-03-25T12:01:58","guid":{"rendered":"https:\/\/pjama.eu\/pjama-terveys\/paivaaikainen-inkontinenssi-ei-ole-vasta-aihe\/"},"modified":"2026-03-25T13:03:03","modified_gmt":"2026-03-25T12:03:03","slug":"paivaaikainen-inkontinenssi-ei-ole-vasta-aihe","status":"publish","type":"post","link":"https:\/\/pjama.eu\/fi\/pjama-terveys\/paivaaikainen-inkontinenssi-ei-ole-vasta-aihe\/","title":{"rendered":"P\u00e4iv\u00e4aikainen inkontinenssi ei ole vasta-aihe"},"content":{"rendered":"<p><html><head><meta content=\"text\/html; charset=UTF-8\" http-equiv=\"content-type\"><\/p>\n<style type=\"text\/css\">@import url(https:\/\/themes.googleusercontent.com\/fonts\/css?kit=af0wNNfmjoYLTVia8E5qXXios6MdgFj-KdrERLZiDjFlnTDHPTRc26_1nyGhMab2);.lst-kix_vg3xsuin6uu2-1>li:before{content:\"\\0025cb   \"}ul.lst-kix_36t13pqbbh7h-0{list-style-type:none}ul.lst-kix_36t13pqbbh7h-1{list-style-type:none}.lst-kix_vg3xsuin6uu2-2>li:before{content:\"\\0025a0   \"}ul.lst-kix_36t13pqbbh7h-2{list-style-type:none}ul.lst-kix_36t13pqbbh7h-3{list-style-type:none}ul.lst-kix_nm9zbsjy76y4-5{list-style-type:none}ul.lst-kix_36t13pqbbh7h-4{list-style-type:none}ul.lst-kix_nm9zbsjy76y4-6{list-style-type:none}ul.lst-kix_36t13pqbbh7h-5{list-style-type:none}ul.lst-kix_nm9zbsjy76y4-3{list-style-type:none}ul.lst-kix_36t13pqbbh7h-6{list-style-type:none}ul.lst-kix_nm9zbsjy76y4-4{list-style-type:none}ul.lst-kix_36t13pqbbh7h-7{list-style-type:none}.lst-kix_vg3xsuin6uu2-7>li:before{content:\"\\0025cb   \"}ul.lst-kix_nm9zbsjy76y4-1{list-style-type:none}ul.lst-kix_36t13pqbbh7h-8{list-style-type:none}ul.lst-kix_nm9zbsjy76y4-2{list-style-type:none}.lst-kix_vg3xsuin6uu2-0>li:before{content:\"\\0025cf   \"}.lst-kix_vg3xsuin6uu2-8>li:before{content:\"\\0025a0   \"}ul.lst-kix_nm9zbsjy76y4-0{list-style-type:none}.lst-kix_vg3xsuin6uu2-6>li:before{content:\"\\0025cf   \"}.lst-kix_vg3xsuin6uu2-5>li:before{content:\"\\0025a0   \"}.lst-kix_fb4ypced95yl-6>li:before{content:\"\\0025cf   \"}.lst-kix_fb4ypced95yl-7>li:before{content:\"\\0025cb   \"}.lst-kix_vg3xsuin6uu2-3>li:before{content:\"\\0025cf   \"}.lst-kix_fb4ypced95yl-8>li:before{content:\"\\0025a0   \"}.lst-kix_vg3xsuin6uu2-4>li:before{content:\"\\0025cb   \"}.lst-kix_fb4ypced95yl-2>li:before{content:\"\\0025a0   \"}.lst-kix_fb4ypced95yl-1>li:before{content:\"\\0025cb   \"}.lst-kix_fb4ypced95yl-3>li:before{content:\"\\0025cf   \"}.lst-kix_fb4ypced95yl-5>li:before{content:\"\\0025a0   \"}.lst-kix_fb4ypced95yl-4>li:before{content:\"\\0025cb   \"}ul.lst-kix_nm9zbsjy76y4-7{list-style-type:none}ul.lst-kix_nm9zbsjy76y4-8{list-style-type:none}.lst-kix_fb4ypced95yl-0>li:before{content:\"\\0025cf   \"}ul.lst-kix_giwvb3voun3r-2{list-style-type:none}ul.lst-kix_giwvb3voun3r-3{list-style-type:none}ul.lst-kix_giwvb3voun3r-4{list-style-type:none}ul.lst-kix_giwvb3voun3r-5{list-style-type:none}ul.lst-kix_giwvb3voun3r-0{list-style-type:none}ul.lst-kix_giwvb3voun3r-1{list-style-type:none}ul.lst-kix_giwvb3voun3r-6{list-style-type:none}ul.lst-kix_giwvb3voun3r-7{list-style-type:none}ul.lst-kix_giwvb3voun3r-8{list-style-type:none}.lst-kix_6sd1mqi3wtlg-0>li:before{content:\"\\0025cf   \"}.lst-kix_xmti16l4kwdp-1>li:before{content:\"-  \"}.lst-kix_xmti16l4kwdp-2>li:before{content:\"-  \"}.lst-kix_6sd1mqi3wtlg-1>li:before{content:\"\\0025cb   \"}.lst-kix_xmti16l4kwdp-3>li:before{content:\"-  \"}.lst-kix_6sd1mqi3wtlg-2>li:before{content:\"\\0025a0   \"}.lst-kix_6sd1mqi3wtlg-4>li:before{content:\"\\0025cb   \"}.lst-kix_xmti16l4kwdp-4>li:before{content:\"-  \"}.lst-kix_6sd1mqi3wtlg-3>li:before{content:\"\\0025cf   \"}.lst-kix_xmti16l4kwdp-7>li:before{content:\"-  \"}.lst-kix_6sd1mqi3wtlg-6>li:before{content:\"\\0025cf   \"}.lst-kix_6sd1mqi3wtlg-8>li:before{content:\"\\0025a0   \"}.lst-kix_xmti16l4kwdp-5>li:before{content:\"-  \"}.lst-kix_xmti16l4kwdp-6>li:before{content:\"-  \"}.lst-kix_6sd1mqi3wtlg-5>li:before{content:\"\\0025a0   \"}.lst-kix_xmti16l4kwdp-8>li:before{content:\"-  \"}.lst-kix_6sd1mqi3wtlg-7>li:before{content:\"\\0025cb   \"}.lst-kix_8ea7vmkj1g7t-2>li:before{content:\"\\0025a0   \"}.lst-kix_8ea7vmkj1g7t-6>li:before{content:\"\\0025cf   \"}.lst-kix_d53d5rhrjzk0-3>li:before{content:\"\\0025cf   \"}.lst-kix_8ea7vmkj1g7t-0>li:before{content:\"\\0025cf   \"}.lst-kix_8ea7vmkj1g7t-8>li:before{content:\"\\0025a0   \"}.lst-kix_u08kpfvywmm4-6>li:before{content:\"\\0025cf   \"}.lst-kix_u08kpfvywmm4-8>li:before{content:\"\\0025a0   \"}.lst-kix_d53d5rhrjzk0-1>li:before{content:\"\\0025cb   \"}.lst-kix_u08kpfvywmm4-4>li:before{content:\"\\0025cb   \"}.lst-kix_xmti16l4kwdp-0>li:before{content:\"-  \"}.lst-kix_ujvb4ytt82wp-1>li:before{content:\"-  \"}.lst-kix_9iqmv24wlfok-6>li:before{content:\"\\0025cf   \"}.lst-kix_u08kpfvywmm4-0>li:before{content:\"\\0025cf   \"}.lst-kix_9iqmv24wlfok-4>li:before{content:\"\\0025cb   \"}.lst-kix_9iqmv24wlfok-8>li:before{content:\"\\0025a0   \"}.lst-kix_36t13pqbbh7h-2>li:before{content:\"\\0025a0   \"}.lst-kix_u08kpfvywmm4-2>li:before{content:\"\\0025a0   \"}.lst-kix_ujvb4ytt82wp-7>li:before{content:\"-  \"}.lst-kix_36t13pqbbh7h-0>li:before{content:\"\\0025cf   \"}.lst-kix_9iqmv24wlfok-0>li:before{content:\"\\0025cf   \"}.lst-kix_ujvb4ytt82wp-5>li:before{content:\"-  \"}.lst-kix_9iqmv24wlfok-2>li:before{content:\"\\0025a0   \"}.lst-kix_ujvb4ytt82wp-3>li:before{content:\"-  \"}.lst-kix_8ea7vmkj1g7t-4>li:before{content:\"\\0025cb   \"}ul.lst-kix_d53d5rhrjzk0-8{list-style-type:none}ul.lst-kix_d53d5rhrjzk0-7{list-style-type:none}ul.lst-kix_d53d5rhrjzk0-4{list-style-type:none}ul.lst-kix_d53d5rhrjzk0-3{list-style-type:none}ul.lst-kix_d53d5rhrjzk0-6{list-style-type:none}ul.lst-kix_d53d5rhrjzk0-5{list-style-type:none}ul.lst-kix_n52eqsy0nqh0-4{list-style-type:none}ul.lst-kix_n52eqsy0nqh0-3{list-style-type:none}ul.lst-kix_n52eqsy0nqh0-6{list-style-type:none}ul.lst-kix_n52eqsy0nqh0-5{list-style-type:none}ul.lst-kix_n52eqsy0nqh0-8{list-style-type:none}ul.lst-kix_n52eqsy0nqh0-7{list-style-type:none}.lst-kix_61dy0yudhal-8>li:before{content:\"\\0025a0   \"}ul.lst-kix_n52eqsy0nqh0-2{list-style-type:none}ul.lst-kix_n52eqsy0nqh0-1{list-style-type:none}ul.lst-kix_d53d5rhrjzk0-0{list-style-type:none}ul.lst-kix_d53d5rhrjzk0-2{list-style-type:none}ul.lst-kix_d53d5rhrjzk0-1{list-style-type:none}.lst-kix_61dy0yudhal-6>li:before{content:\"\\0025cf   \"}.lst-kix_d53d5rhrjzk0-5>li:before{content:\"\\0025a0   \"}.lst-kix_oli5rhk42jyw-4>li:before{content:\"-  \"}.lst-kix_61dy0yudhal-0>li:before{content:\"\\0025cf   \"}.lst-kix_61dy0yudhal-4>li:before{content:\"\\0025cb   \"}.lst-kix_7gurqhn0495b-2>li:before{content:\"-  \"}.lst-kix_oli5rhk42jyw-8>li:before{content:\"-  \"}.lst-kix_d53d5rhrjzk0-7>li:before{content:\"\\0025cb   \"}.lst-kix_oli5rhk42jyw-6>li:before{content:\"-  \"}.lst-kix_61dy0yudhal-2>li:before{content:\"\\0025a0   \"}.lst-kix_7gurqhn0495b-0>li:before{content:\"-  \"}.lst-kix_d8979nkl0s3u-1>li:before{content:\"-  \"}.lst-kix_7gurqhn0495b-7>li:before{content:\"-  \"}.lst-kix_d8979nkl0s3u-0>li:before{content:\"-  \"}.lst-kix_d8979nkl0s3u-4>li:before{content:\"-  \"}.lst-kix_7gurqhn0495b-6>li:before{content:\"-  \"}.lst-kix_d8979nkl0s3u-5>li:before{content:\"-  \"}.lst-kix_7gurqhn0495b-3>li:before{content:\"-  \"}.lst-kix_oli5rhk42jyw-2>li:before{content:\"-  \"}.lst-kix_d8979nkl0s3u-8>li:before{content:\"-  \"}.lst-kix_oli5rhk42jyw-1>li:before{content:\"-  \"}ul.lst-kix_6sd1mqi3wtlg-0{list-style-type:none}.lst-kix_n52eqsy0nqh0-7>li:before{content:\"-  \"}.lst-kix_n52eqsy0nqh0-2>li:before{content:\"-  \"}.lst-kix_n52eqsy0nqh0-3>li:before{content:\"-  \"}ul.lst-kix_6sd1mqi3wtlg-1{list-style-type:none}ul.lst-kix_6sd1mqi3wtlg-2{list-style-type:none}ul.lst-kix_6sd1mqi3wtlg-3{list-style-type:none}ul.lst-kix_6sd1mqi3wtlg-4{list-style-type:none}.lst-kix_n52eqsy0nqh0-6>li:before{content:\"-  \"}ul.lst-kix_6sd1mqi3wtlg-5{list-style-type:none}ul.lst-kix_6sd1mqi3wtlg-6{list-style-type:none}ul.lst-kix_6sd1mqi3wtlg-7{list-style-type:none}ul.lst-kix_6sd1mqi3wtlg-8{list-style-type:none}.lst-kix_giwvb3voun3r-4>li:before{content:\"\\0025cb   \"}.lst-kix_giwvb3voun3r-8>li:before{content:\"\\0025a0   \"}.lst-kix_36t13pqbbh7h-8>li:before{content:\"\\0025a0   \"}.lst-kix_giwvb3voun3r-5>li:before{content:\"\\0025a0   \"}.lst-kix_4prmu82qs24w-6>li:before{content:\"\\0025cf   \"}.lst-kix_36t13pqbbh7h-5>li:before{content:\"\\0025a0   \"}.lst-kix_p3588fmja8mn-6>li:before{content:\"\\0025cf   \"}.lst-kix_giwvb3voun3r-0>li:before{content:\"\\0025cf   \"}.lst-kix_36t13pqbbh7h-4>li:before{content:\"\\0025cb   \"}.lst-kix_p3588fmja8mn-3>li:before{content:\"\\0025cf   \"}.lst-kix_giwvb3voun3r-1>li:before{content:\"\\0025cb   \"}.lst-kix_sliwsn2iogmr-2>li:before{content:\"\\0025a0   \"}.lst-kix_sliwsn2iogmr-3>li:before{content:\"\\0025cf   \"}.lst-kix_p3588fmja8mn-2>li:before{content:\"\\0025a0   \"}.lst-kix_4prmu82qs24w-5>li:before{content:\"\\0025a0   \"}.lst-kix_sliwsn2iogmr-7>li:before{content:\"\\0025cb   \"}.lst-kix_4prmu82qs24w-2>li:before{content:\"\\0025a0   \"}.lst-kix_sliwsn2iogmr-6>li:before{content:\"\\0025cf   \"}.lst-kix_4prmu82qs24w-1>li:before{content:\"\\0025cb   \"}.lst-kix_8ea7vmkj1g7t-5>li:before{content:\"\\0025a0   \"}.lst-kix_8ea7vmkj1g7t-1>li:before{content:\"\\0025cb   \"}.lst-kix_u08kpfvywmm4-5>li:before{content:\"\\0025a0   \"}.lst-kix_d53d5rhrjzk0-0>li:before{content:\"\\0025cf   \"}ul.lst-kix_8t0k1d5bf2ar-0{list-style-type:none}ul.lst-kix_8t0k1d5bf2ar-1{list-style-type:none}.lst-kix_sbmyselree38-2>li:before{content:\"\\0025a0   \"}ul.lst-kix_8t0k1d5bf2ar-2{list-style-type:none}.lst-kix_9iqmv24wlfok-5>li:before{content:\"\\0025a0   \"}ul.lst-kix_8t0k1d5bf2ar-3{list-style-type:none}ul.lst-kix_8t0k1d5bf2ar-4{list-style-type:none}ul.lst-kix_8t0k1d5bf2ar-5{list-style-type:none}ul.lst-kix_8t0k1d5bf2ar-6{list-style-type:none}ul.lst-kix_8t0k1d5bf2ar-7{list-style-type:none}.lst-kix_36t13pqbbh7h-1>li:before{content:\"\\0025cb   \"}ul.lst-kix_8t0k1d5bf2ar-8{list-style-type:none}.lst-kix_u08kpfvywmm4-1>li:before{content:\"\\0025cb   \"}.lst-kix_ujvb4ytt82wp-0>li:before{content:\"-  \"}.lst-kix_sbmyselree38-6>li:before{content:\"\\0025cf   \"}.lst-kix_9iqmv24wlfok-1>li:before{content:\"\\0025cb   \"}.lst-kix_ujvb4ytt82wp-4>li:before{content:\"-  \"}ul.lst-kix_4prmu82qs24w-5{list-style-type:none}ul.lst-kix_4prmu82qs24w-4{list-style-type:none}ul.lst-kix_4prmu82qs24w-3{list-style-type:none}ul.lst-kix_fj0kprc8hu85-0{list-style-type:none}ul.lst-kix_4prmu82qs24w-2{list-style-type:none}ul.lst-kix_4prmu82qs24w-1{list-style-type:none}ul.lst-kix_4prmu82qs24w-0{list-style-type:none}ul.lst-kix_xmti16l4kwdp-0{list-style-type:none}ul.lst-kix_xmti16l4kwdp-1{list-style-type:none}ul.lst-kix_xmti16l4kwdp-2{list-style-type:none}.lst-kix_ujvb4ytt82wp-8>li:before{content:\"-  \"}.ul.lst-kix_xmti16l4kwdp-3{list-style-type:none}.lst-kix_nm9zbsjy76y4-7>li:before{content:\"\\0025cb   \"}ul.lst-kix_xmti16l4kwdp-4{list-style-type:none}ul.lst-kix_xmti16l4kwdp-5{list-style-type:none}.lst-kix_fj0kprc8hu85-6>li:before{content:\"\\0025cf   \"}ul.lst-kix_xmti16l4kwdp-6{list-style-type:none}ul.lst-kix_xmti16l4kwdp-7{list-style-type:none}ul.lst-kix_xmti16l4kwdp-8{list-style-type:none}ul.lst-kix_61dy0yudhal-0{list-style-type:none}ul.lst-kix_61dy0yudhal-1{list-style-type:none}.lst-kix_fj0kprc8hu85-2>li:before{content:\"\\0025a0   \"}ul.lst-kix_61dy0yudhal-4{list-style-type:none}.lst-kix_61dy0yudhal-7>li:before{content:\"\\0025cb   \"}ul.lst-kix_61dy0yudhal-5{list-style-type:none}ul.lst-kix_61dy0yudhal-2{list-style-type:none}ul.lst-kix_61dy0yudhal-3{list-style-type:none}ul.lst-kix_61dy0yudhal-8{list-style-type:none}.lst-kix_ktqr0xyxjy2d-3>li:before{content:\"\\0025cf   \"}ul.lst-kix_61dy0yudhal-6{list-style-type:none}ul.lst-kix_61dy0yudhal-7{list-style-type:none}ul.lst-kix_sbmyselree38-2{list-style-type:none}ul.lst-kix_fj0kprc8hu85-5{list-style-type:none}ul.lst-kix_sbmyselree38-1{list-style-type:none}ul.lst-kix_fj0kprc8hu85-6{list-style-type:none}.lst-kix_ktqr0xyxjy2d-7>li:before{content:\"\\0025cb   \"}ul.lst-kix_sbmyselree38-4{list-style-type:none}ul.lst-kix_fj0kprc8hu85-7{list-style-type:none}.lst-kix_d53d5rhrjzk0-4>li:before{content:\"\\0025cb   \"}ul.lst-kix_sbmyselree38-3{list-style-type:none}ul.lst-kix_fj0kprc8hu85-8{list-style-type:none}ul.lst-kix_sbmyselree38-6{list-style-type:none}ul.lst-kix_fj0kprc8hu85-1{list-style-type:none}.lst-kix_61dy0yudhal-3>li:before{content:\"\\0025cf   \"}ul.lst-kix_sbmyselree38-5{list-style-type:none}ul.lst-kix_fj0kprc8hu85-2{list-style-type:none}.lst-kix_oli5rhk42jyw-5>li:before{content:\"-  \"}ul.lst-kix_4prmu82qs24w-8{list-style-type:none}ul.lst-kix_sbmyselree38-8{list-style-type:none}ul.lst-kix_fj0kprc8hu85-3{list-style-type:none}ul.lst-kix_4prmu82qs24w-7{list-style-type:none}ul.lst-kix_sbmyselree38-7{list-style-type:none}ul.lst-kix_fj0kprc8hu85-4{list-style-type:none}ul.lst-kix_4prmu82qs24w-6{list-style-type:none}.lst-kix_nm9zbsjy76y4-3>li:before{content:\"\\0025cf   \"}.lst-kix_d53d5rhrjzk0-8>li:before{content:\"\\0025a0   \"}ul.lst-kix_sbmyselree38-0{list-style-type:none}ul.lst-kix_oli5rhk42jyw-6{list-style-type:none}ul.lst-kix_oli5rhk42jyw-5{list-style-type:none}ul.lst-kix_oli5rhk42jyw-4{list-style-type:none}.lst-kix_8t0k1d5bf2ar-1>li:before{content:\"-  \"}ul.lst-kix_oli5rhk42jyw-3{list-style-type:none}ul.lst-kix_oli5rhk42jyw-8{list-style-type:none}.lst-kix_8t0k1d5bf2ar-0>li:before{content:\"-  \"}ul.lst-kix_oli5rhk42jyw-7{list-style-type:none}ul.lst-kix_fb4ypced95yl-8{list-style-type:none}ul.lst-kix_fb4ypced95yl-7{list-style-type:none}.lst-kix_8t0k1d5bf2ar-3>li:before{content:\"-  \"}.lst-kix_8t0k1d5bf2ar-5>li:before{content:\"-  \"}.lst-kix_8t0k1d5bf2ar-2>li:before{content:\"-  \"}.lst-kix_8t0k1d5bf2ar-6>li:before{content:\"-  \"}ul.lst-kix_fb4ypced95yl-2{list-style-type:none}ul.lst-kix_fb4ypced95yl-1{list-style-type:none}ul.lst-kix_fb4ypced95yl-0{list-style-type:none}ul.lst-kix_fb4ypced95yl-6{list-style-type:none}ul.lst-kix_fb4ypced95yl-5{list-style-type:none}ul.lst-kix_fb4ypced95yl-4{list-style-type:none}ul.lst-kix_fb4ypced95yl-3{list-style-type:none}.lst-kix_8t0k1d5bf2ar-4>li:before{content:\"-  \"}ul.lst-kix_9iqmv24wlfok-1{list-style-type:none}ul.lst-kix_p3588fmja8mn-1{list-style-type:none}ul.lst-kix_9iqmv24wlfok-0{list-style-type:none}ul.lst-kix_p3588fmja8mn-0{list-style-type:none}ul.lst-kix_9iqmv24wlfok-3{list-style-type:none}ul.lst-kix_p3588fmja8mn-3{list-style-type:none}ul.lst-kix_9iqmv24wlfok-2{list-style-type:none}ul.lst-kix_p3588fmja8mn-2{list-style-type:none}ul.lst-kix_9iqmv24wlfok-5{list-style-type:none}ul.lst-kix_p3588fmja8mn-5{list-style-type:none}ul.lst-kix_9iqmv24wlfok-4{list-style-type:none}ul.lst-kix_p3588fmja8mn-4{list-style-type:none}ul.lst-kix_9iqmv24wlfok-7{list-style-type:none}ul.lst-kix_p3588fmja8mn-7{list-style-type:none}ul.lst-kix_9iqmv24wlfok-6{list-style-type:none}ul.lst-kix_p3588fmja8mn-6{list-style-type:none}ul.lst-kix_9iqmv24wlfok-8{list-style-type:none}.lst-kix_8t0k1d5bf2ar-7>li:before{content:\"-  \"}.lst-kix_8t0k1d5bf2ar-8>li:before{content:\"-  \"}ul.lst-kix_ktqr0xyxjy2d-7{list-style-type:none}ul.lst-kix_ujvb4ytt82wp-8{list-style-type:none}ul.lst-kix_ktqr0xyxjy2d-8{list-style-type:none}ul.lst-kix_oli5rhk42jyw-2{list-style-type:none}ul.lst-kix_oli5rhk42jyw-1{list-style-type:none}ul.lst-kix_oli5rhk42jyw-0{list-style-type:none}ul.lst-kix_ktqr0xyxjy2d-1{list-style-type:none}ul.lst-kix_ktqr0xyxjy2d-2{list-style-type:none}ul.lst-kix_p3588fmja8mn-8{list-style-type:none}ul.lst-kix_ktqr0xyxjy2d-0{list-style-type:none}ul.lst-kix_ktqr0xyxjy2d-5{list-style-type:none}ul.lst-kix_ktqr0xyxjy2d-6{list-style-type:none}ul.lst-kix_ktqr0xyxjy2d-3{list-style-type:none}ul.lst-kix_ktqr0xyxjy2d-4{list-style-type:none}ul.lst-kix_vg3xsuin6uu2-8{list-style-type:none}ul.lst-kix_sliwsn2iogmr-6{list-style-type:none}ul.lst-kix_sliwsn2iogmr-5{list-style-type:none}ul.lst-kix_sliwsn2iogmr-4{list-style-type:none}ul.lst-kix_sliwsn2iogmr-3{list-style-type:none}ul.lst-kix_sliwsn2iogmr-8{list-style-type:none}ul.lst-kix_sliwsn2iogmr-7{list-style-type:none}ul.lst-kix_sliwsn2iogmr-2{list-style-type:none}ul.lst-kix_sliwsn2iogmr-1{list-style-type:none}ul.lst-kix_sliwsn2iogmr-0{list-style-type:none}.lst-kix_sbmyselree38-1>li:before{content:\"\\0025cb   \"}.lst-kix_p3588fmja8mn-7>li:before{content:\"\\0025cb   \"}.lst-kix_sbmyselree38-7>li:before{content:\"\\0025cb   \"}.lst-kix_sbmyselree38-5>li:before{content:\"\\0025a0   \"}ul.lst-kix_vg3xsuin6uu2-4{list-style-type:none}.lst-kix_sbmyselree38-3>li:before{content:\"\\0025cf   \"}ul.lst-kix_vg3xsuin6uu2-5{list-style-type:none}ul.lst-kix_vg3xsuin6uu2-6{list-style-type:none}ul.lst-kix_vg3xsuin6uu2-7{list-style-type:none}ul.lst-kix_vg3xsuin6uu2-0{list-style-type:none}ul.lst-kix_vg3xsuin6uu2-1{list-style-type:none}ul.lst-kix_vg3xsuin6uu2-2{list-style-type:none}ul.lst-kix_vg3xsuin6uu2-3{list-style-type:none}ul.lst-kix_ujvb4ytt82wp-3{list-style-type:none}ul.lst-kix_ujvb4ytt82wp-2{list-style-type:none}ul.lst-kix_ujvb4ytt82wp-1{list-style-type:none}ul.lst-kix_ujvb4ytt82wp-0{list-style-type:none}ul.lst-kix_ujvb4ytt82wp-7{list-style-type:none}ul.lst-kix_ujvb4ytt82wp-6{list-style-type:none}ul.lst-kix_ujvb4ytt82wp-5{list-style-type:none}ul.lst-kix_ujvb4ytt82wp-4{list-style-type:none}.lst-kix_nm9zbsjy76y4-6>li:before{content:\"\\0025cf   \"}.lst-kix_fj0kprc8hu85-7>li:before{content:\"\\0025cb   \"}.lst-kix_nm9zbsjy76y4-8>li:before{content:\"\\0025a0   \"}.lst-kix_ktqr0xyxjy2d-0>li:before{content:\"\\0025cf   \"}.lst-kix_fj0kprc8hu85-1>li:before{content:\"\\0025cb   \"}.lst-kix_nm9zbsjy76y4-0>li:before{content:\"\\0025cf   \"}ul.lst-kix_8ea7vmkj1g7t-8{list-style-type:none}ul.lst-kix_8ea7vmkj1g7t-7{list-style-type:none}.lst-kix_ktqr0xyxjy2d-4>li:before{content:\"\\0025cb   \"}.lst-kix_fj0kprc8hu85-3>li:before{content:\"\\0025cf   \"}.lst-kix_fj0kprc8hu85-5>li:before{content:\"\\0025a0   \"}ul.lst-kix_8ea7vmkj1g7t-6{list-style-type:none}ul.lst-kix_8ea7vmkj1g7t-5{list-style-type:none}.lst-kix_ktqr0xyxjy2d-2>li:before{content:\"\\0025a0   \"}ul.lst-kix_8ea7vmkj1g7t-0{list-style-type:none}.lst-kix_ktqr0xyxjy2d-8>li:before{content:\"\\0025a0   \"}ul.lst-kix_7gurqhn0495b-0{list-style-type:none}.lst-kix_nm9zbsjy76y4-4>li:before{content:\"\\0025cb   \"}ul.lst-kix_8ea7vmkj1g7t-4{list-style-type:none}ul.lst-kix_8ea7vmkj1g7t-3{list-style-type:none}ul.lst-kix_8ea7vmkj1g7t-2{list-style-type:none}ul.lst-kix_8ea7vmkj1g7t-1{list-style-type:none}ul.lst-kix_7gurqhn0495b-4{list-style-type:none}.lst-kix_nm9zbsjy76y4-2>li:before{content:\"\\0025a0   \"}ul.lst-kix_7gurqhn0495b-3{list-style-type:none}ul.lst-kix_7gurqhn0495b-2{list-style-type:none}ul.lst-kix_7gurqhn0495b-1{list-style-type:none}ul.lst-kix_7gurqhn0495b-8{list-style-type:none}ul.lst-kix_7gurqhn0495b-7{list-style-type:none}.lst-kix_ktqr0xyxjy2d-6>li:before{content:\"\\0025cf   \"}ul.lst-kix_7gurqhn0495b-6{list-style-type:none}ul.lst-kix_7gurqhn0495b-5{list-style-type:none}.lst-kix_d8979nkl0s3u-2>li:before{content:\"-  \"}ul.lst-kix_u08kpfvywmm4-4{list-style-type:none}ul.lst-kix_u08kpfvywmm4-3{list-style-type:none}.lst-kix_d8979nkl0s3u-3>li:before{content:\"-  \"}ul.lst-kix_u08kpfvywmm4-2{list-style-type:none}ul.lst-kix_u08kpfvywmm4-1{list-style-type:none}ul.lst-kix_u08kpfvywmm4-0{list-style-type:none}.lst-kix_d8979nkl0s3u-6>li:before{content:\"-  \"}.lst-kix_d8979nkl0s3u-7>li:before{content:\"-  \"}.lst-kix_7gurqhn0495b-5>li:before{content:\"-  \"}ul.lst-kix_u08kpfvywmm4-8{list-style-type:none}ul.lst-kix_u08kpfvywmm4-7{list-style-type:none}ul.lst-kix_u08kpfvywmm4-6{list-style-type:none}.lst-kix_7gurqhn0495b-4>li:before{content:\"-  \"}ul.lst-kix_u08kpfvywmm4-5{list-style-type:none}.lst-kix_oli5rhk42jyw-0>li:before{content:\"-  \"}.lst-kix_7gurqhn0495b-8>li:before{content:\"-  \"}.lst-kix_n52eqsy0nqh0-8>li:before{content:\"-  \"}.lst-kix_n52eqsy0nqh0-1>li:before{content:\"-  \"}.lst-kix_n52eqsy0nqh0-4>li:before{content:\"-  \"}.lst-kix_n52eqsy0nqh0-5>li:before{content:\"-  \"}.lst-kix_giwvb3voun3r-7>li:before{content:\"\\0025cb   \"}.lst-kix_giwvb3voun3r-6>li:before{content:\"\\0025cf   \"}.lst-kix_36t13pqbbh7h-6>li:before{content:\"\\0025cf   \"}.lst-kix_4prmu82qs24w-7>li:before{content:\"\\0025cb   \"}.lst-kix_36t13pqbbh7h-7>li:before{content:\"\\0025cb   \"}.lst-kix_n52eqsy0nqh0-0>li:before{content:\"-  \"}.lst-kix_4prmu82qs24w-8>li:before{content:\"\\0025a0   \"}.lst-kix_p3588fmja8mn-5>li:before{content:\"\\0025a0   \"}.lst-kix_giwvb3voun3r-3>li:before{content:\"\\0025cf   \"}.lst-kix_36t13pqbbh7h-3>li:before{content:\"\\0025cf   \"}.lst-kix_p3588fmja8mn-4>li:before{content:\"\\0025cb   \"}.lst-kix_giwvb3voun3r-2>li:before{content:\"\\0025a0   \"}ul.lst-kix_d8979nkl0s3u-7{list-style-type:none}.lst-kix_p3588fmja8mn-1>li:before{content:\"\\0025cb   \"}.lst-kix_sliwsn2iogmr-1>li:before{content:\"\\0025cb   \"}ul.lst-kix_d8979nkl0s3u-6{list-style-type:none}ul.lst-kix_d8979nkl0s3u-5{list-style-type:none}.lst-kix_sliwsn2iogmr-0>li:before{content:\"\\0025cf   \"}ul.lst-kix_d8979nkl0s3u-4{list-style-type:none}.lst-kix_4prmu82qs24w-0>li:before{content:\"\\0025cf   \"}ul.lst-kix_d8979nkl0s3u-8{list-style-type:none}.lst-kix_p3588fmja8mn-0>li:before{content:\"\\0025cf   \"}.lst-kix_sliwsn2iogmr-8>li:before{content:\"\\0025a0   \"}.lst-kix_4prmu82qs24w-4>li:before{content:\"\\0025cb   \"}.lst-kix_sliwsn2iogmr-5>li:before{content:\"\\0025a0   \"}.lst-kix_4prmu82qs24w-3>li:before{content:\"\\0025cf   \"}.lst-kix_sliwsn2iogmr-4>li:before{content:\"\\0025cb   \"}ul.lst-kix_d8979nkl0s3u-3{list-style-type:none}ul.lst-kix_d8979nkl0s3u-2{list-style-type:none}ul.lst-kix_d8979nkl0s3u-1{list-style-type:none}ul.lst-kix_d8979nkl0s3u-0{list-style-type:none}.lst-kix_8ea7vmkj1g7t-3>li:before{content:\"\\0025cf   \"}.lst-kix_8ea7vmkj1g7t-7>li:before{content:\"\\0025cb   \"}.lst-kix_d53d5rhrjzk0-2>li:before{content:\"\\0025a0   \"}.lst-kix_u08kpfvywmm4-7>li:before{content:\"\\0025cb   \"}.lst-kix_sbmyselree38-0>li:before{content:\"\\0025cf   \"}.lst-kix_9iqmv24wlfok-7>li:before{content:\"\\0025cb   \"}.lst-kix_ujvb4ytt82wp-2>li:before{content:\"-  \"}.lst-kix_u08kpfvywmm4-3>li:before{content:\"\\0025cf   \"}.lst-kix_p3588fmja8mn-8>li:before{content:\"\\0025a0   \"}.lst-kix_ujvb4ytt82wp-6>li:before{content:\"-  \"}.lst-kix_sbmyselree38-4>li:before{content:\"\\0025cb   \"}.lst-kix_9iqmv24wlfok-3>li:before{content:\"\\0025cf   \"}.lst-kix_fj0kprc8hu85-8>li:before{content:\"\\0025a0   \"}.lst-kix_sbmyselree38-8>li:before{content:\"\\0025a0   \"}.lst-kix_fj0kprc8hu85-0>li:before{content:\"\\0025cf   \"}.lst-kix_ktqr0xyxjy2d-1>li:before{content:\"\\0025cb   \"}.lst-kix_fj0kprc8hu85-4>li:before{content:\"\\0025cb   \"}.lst-kix_61dy0yudhal-5>li:before{content:\"\\0025a0   \"}li.li-bullet-0:before{margin-left:-18pt;white-space:nowrap;display:inline-block;min-width:18pt}.lst-kix_61dy0yudhal-1>li:before{content:\"\\0025cb   \"}.lst-kix_oli5rhk42jyw-3>li:before{content:\"-  \"}.lst-kix_nm9zbsjy76y4-5>li:before{content:\"\\0025a0   \"}.lst-kix_d53d5rhrjzk0-6>li:before{content:\"\\0025cf   \"}.lst-kix_7gurqhn0495b-1>li:before{content:\"-  \"}.lst-kix_ktqr0xyxjy2d-5>li:before{content:\"\\0025a0   \"}.lst-kix_oli5rhk42jyw-7>li:before{content:\"-  \"}.lst-kix_nm9zbsjy76y4-1>li:before{content:\"\\0025cb   \"}ol{margin:0;padding:0}table td,table th{padding:0}.c9{padding-top:24pt;padding-bottom:6pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c0{padding-top:12pt;padding-bottom:12pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c4{padding-top:18pt;padding-bottom:4pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c1{font-size:12pt;font-family:\"Lato\";color:#072130;font-weight:300}.c3{color:#072130;font-weight:500;font-size:16pt;font-family:\"Zilla Slab\"}.c11{color:#000000;font-weight:500;font-size:16pt;font-family:\"Zilla Slab\"}.c6{color:#072130;font-weight:400;font-size:12pt;font-family:\"Lato\"}.c2{text-decoration:none;vertical-align:baseline;font-style:normal}.c12{background-color:#ffffff;max-width:468pt;padding:72pt 72pt 72pt 72pt}.c13{text-decoration:none;vertical-align:baseline}.c5{margin-left:72pt;padding-left:0pt}.c10{padding:0;margin:0}.c8{margin-left:36pt}.c7{font-style:italic}.title{padding-top:0pt;color:#000000;font-size:26pt;padding-bottom:3pt;font-family:\"Arial\";line-height:1.15;page-break-after:avoid;orphans:2;widows:2;text-align:left}.subtitle{padding-top:0pt;color:#666666;font-size:15pt;padding-bottom:16pt;font-family:\"Arial\";line-height:1.15;page-break-after:avoid;orphans:2;widows:2;text-align:left}li{color:#000000;font-size:11pt;font-family:\"Arial\"}p{margin:0;color:#000000;font-size:11pt;font-family:\"Arial\"}h1{padding-top:20pt;color:#000000;font-size:20pt;padding-bottom:6pt;font-family:\"Arial\";line-height:1.15;page-break-after:avoid;orphans:2;widows:2;text-align:left}h2{padding-top:18pt;color:#000000;font-size:16pt;padding-bottom:6pt;font-family:\"Arial\";line-height:1.15;page-break-after:avoid;orphans:2;widows:2;text-align:left}h3{padding-top:16pt;color:#434343;font-size:14pt;padding-bottom:4pt;font-family:\"Arial\";line-height:1.15;page-break-after:avoid;orphans:2;widows:2;text-align:left}h4{padding-top:14pt;color:#666666;font-size:12pt;padding-bottom:4pt;font-family:\"Arial\";line-height:1.15;page-break-after:avoid;orphans:2;widows:2;text-align:left}h5{padding-top:12pt;color:#666666;font-size:11pt;padding-bottom:4pt;font-family:\"Arial\";line-height:1.15;page-break-after:avoid;orphans:2;widows:2;text-align:left}h6{padding-top:12pt;color:#666666;font-size:11pt;padding-bottom:4pt;font-family:\"Arial\";line-height:1.15;page-break-after:avoid;font-style:italic;orphans:2;widows:2;text-align:left}<\/style>\n<style type=\"text\/css\">\/* pjama-bullets-fix *\/\/* Use normal bullets and remove Google Docs \"fake bullets\" *\/ul[class^=\"lst-kix_\"], ul[class*=\" lst-kix_\"]{  list-style-type: disc !important;  list-style-position: outside;}\/* Remove the injected \"-\" bullets *\/ul[class^=\"lst-kix_\"] > li:before, ul[class*=\" lst-kix_\"] > li:before,li.li-bullet-0:before{  content: \"\" !important;  display: none !important;}<\/style>\n<p><\/head><body class=\"c12 doc-content\"><\/p>\n<p class=\"c0\"><span class=\"c1 c7 c13\">Julkaistu Pjama Healthcare -osiossa<br \/><\/span><\/p>\n<p class=\"c0\"><span class=\"c3 c2\">Uudelleenarviointi h\u00e4lytyshoitoa lapsilla, joilla on enuresis ja p\u00e4iv\u00e4aikaiset oireet<\/span><\/p>\n<p class=\"c0\"><span class=\"c1 c2\">Kliinisess\u00e4 k\u00e4yt\u00e4nn\u00f6ss\u00e4 y\u00f6kastelusta k\u00e4rsiv\u00e4t lapset n\u00e4ytt\u00e4ytyv\u00e4t usein lis\u00e4n\u00e4 alavirtsateiden oireita.<br \/>P\u00e4iv\u00e4aikainen inkontinenssi, kiireellisyys tai tihentynyt virtsaamisen tarve ovat yleisi\u00e4 l\u00f6yd\u00f6ksi\u00e4 ja her\u00e4tt\u00e4v\u00e4t usein t\u00e4rke\u00e4n kysymyksen:<\/span><\/p>\n<p class=\"c0\"><span class=\"c1\">Pit\u00e4isik\u00f6 h\u00e4lytyshoito siirt\u00e4\u00e4, kunnes p\u00e4iv\u00e4aikaiset oireet on t\u00e4ysin hoidettu?<\/span><\/p>\n<p class=\"c0\"><span class=\"c1 c2\">Monessa tilanteessa implisiittinen vastaus on pitk\u00e4\u00e4n ollut &ldquo;kyll\u00e4.&rdquo;<br \/>Nykyinen n\u00e4ytt\u00f6 viittaa siihen, ett\u00e4 t\u00e4t\u00e4 oletusta olisi syyt\u00e4 tarkastella uudelleen.<\/span><\/p>\n<h2 class=\"c4\" id=\"h.c1wuqdaksc63\"><span class=\"c3 c2\">Mist\u00e4 oletus johtuu<\/span><\/h2>\n<p class=\"c0\"><span class=\"c1 c2\">Ajatus, ett\u00e4 p\u00e4iv\u00e4aikainen inkontinenssi tulisi hoitaa ennen h\u00e4lytyshoidon aloittamista, on muotoutunut huolista, jotka liittyv\u00e4t:<\/span><\/p>\n<ul class=\"c10 lst-kix_n52eqsy0nqh0-0 start\">\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">virtsarakon toimintah\u00e4iri\u00f6\u00f6n, joka voisi h\u00e4irit\u00e4 hoitovastetta<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">heikentyneeseen hoitoon sitoutumiseen monimutkaisemmissa tapauksissa<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">pelkoon huonoista tuloksista tai tarpeettomasta rasituksesta perheille<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c0\"><span class=\"c1 c2\">T\u00e4m\u00e4n seurauksena jotkut lapset kokevat viiveit\u00e4 y\u00f6kastelun hoidossa, vaikka y\u00f6lliset oireet ovat p\u00e4\u00e4asiallinen valituksen aihe.<\/span><\/p>\n<h2 class=\"c4\" id=\"h.heddzusfvdsg\"><span class=\"c3 c2\">Mit\u00e4 n\u00e4ytt\u00f6 todellisuudessa osoittaa<\/span><\/h2>\n<p class=\"c0\"><span class=\"c1 c2\">Useat tutkimukset, mukaan lukien todelliset kliiniset tiedot, osoittavat, ett\u00e4 p\u00e4iv\u00e4aikainen inkontinenssi ei ole luotettava ennustaja huonolle vasteelle h\u00e4lytyshoidossa.<\/span><\/p>\n<p class=\"c0\"><span class=\"c1 c2\">Keskeisi\u00e4 havaintoja ovat:<\/span><\/p>\n<ul class=\"c10 lst-kix_8t0k1d5bf2ar-0 start\">\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">P\u00e4iv\u00e4aikaiset oireet omaavat lapset voivat reagoida h\u00e4lytyshoitoon samanlaisilla vasteilla kuin ne, joilla ei ole oireita.<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">Alkuaikainen p\u00e4iv\u00e4aikainen inkontinenssi ei johdonmukaisesti ennusta vastaamattomuutta.<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">Varhainen hoitovaste on vahvempi ennustetekij\u00e4 kuin p\u00e4iv\u00e4aikaiset oireet yksin\u00e4\u00e4n.<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c0\"><span class=\"c1 c2\">Toisin sanoen, p\u00e4iv\u00e4aikaisen inkontinenssin esiintyminen ei automaattisesti oikeuta h\u00e4lytyshoidon lykk\u00e4\u00e4mist\u00e4 tai lopettamista.<\/span><\/p>\n<h2 class=\"c4\" id=\"h.9hvo35ea2z1o\"><span class=\"c3 c2\">Varhaisen vasteen merkitys perusominaisuuksiin n\u00e4hden<\/span><\/h2>\n<p class=\"c0\"><span class=\"c1 c2\">Tutkimus viittaa yh\u00e4 selvemmin johdonmukaiseen kaavaan:<\/span><\/p>\n<ul class=\"c10 lst-kix_d8979nkl0s3u-0 start\">\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">Pelkk\u00e4 perusdata tarjoaa rajoitetusti ennustusarvoa.<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">Mit\u00e4 hoidon ensimm\u00e4isill\u00e4 viikoilla tapahtuu, on merkityksellisemp\u00e4\u00e4.<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c0\"><span class=\"c1 c2\">Lapset, jotka osoittavat varhaista parannusta y\u00f6kastelussa, hy\u00f6tyv\u00e4t todenn\u00e4k\u00f6isesti jatketusta h\u00e4lytyshoidosta \u2013 riippumatta p\u00e4iv\u00e4aikaisista oireista.<\/span><\/p>\n<p class=\"c0\"><span class=\"c1 c2\">Toisaalta varhaisen vasteen puute tulisi saada arvioitua uudelleen, oli p\u00e4iv\u00e4aikainen inkontinenssi l\u00e4sn\u00e4 tai ei.<\/span><\/p>\n<p class=\"c0\"><span class=\"c1\">T\u00e4m\u00e4 siirt\u00e4\u00e4 kliinisen fokuksen siit\u00e4, <\/span><span class=\"c1 c7\">kuka kelpaa hoitoon<\/span><span class=\"c1\">&nbsp;siihen, <\/span><span class=\"c1 c7\">miten lapsi reagoi<\/span><span class=\"c1 c2\">.<\/span><\/p>\n<h2 class=\"c4\" id=\"h.2lh5fg34ce5c\"><span class=\"c3 c2\">Kliiniset vaikutukset: tarpeettomien viiveiden v\u00e4ltt\u00e4minen<\/span><\/h2>\n<p class=\"c0\"><span class=\"c1 c2\">Kun h\u00e4lytyshoito siirtyy p\u00e4iv\u00e4aikaisen inkontinenssin vuoksi, esiintyy useita riskej\u00e4:<\/span><\/p>\n<ul class=\"c10 lst-kix_7gurqhn0495b-0 start\">\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">Pitkittynyt k\u00e4rsimys lapselle ja perheelle<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">Motivaation menetys ennen hoidon aloittamista<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">Menetetty mahdollisuus arvioida y\u00f6llisen hoitovasteen kehittymist\u00e4<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">Tehottoman terveydenhuollon resurssien k\u00e4ytt\u00f6<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c0\"><span class=\"c1 c2\">H\u00e4lytyshoidon aloittaminen samanaikaisesti p\u00e4iv\u00e4aikaisten oireiden hoidon kanssa voi monissa tapauksissa olla j\u00e4rkev\u00e4\u00e4 ja tehokasta.<\/span><\/p>\n<p class=\"c0\"><span class=\"c1 c2\">Kliininen harkinta on edelleen v\u00e4ltt\u00e4m\u00e4t\u00f6nt\u00e4, erityisesti sulkemaan pois taustalla olevat patologiat.<br \/>Mutta monimutkaisuutta ei tulisi yksin pit\u00e4\u00e4 hoitokohteena vasta-aiheena.<\/span><\/p>\n<h2 class=\"c4\" id=\"h.1x7cp6mxk1dm\"><span class=\"c3 c2\">Perheiden tukeminen selke\u00e4n perustelun avulla<\/span><\/h2>\n<p class=\"c0\"><span class=\"c1 c2\">Perheet kamppailevat usein ymm\u00e4rt\u00e4\u00e4kseen, miksi hoitoa viivytet\u00e4\u00e4n, kun y\u00f6kastelu on heid\u00e4n ensisijainen huolensa.<\/span><\/p>\n<p class=\"c0\"><span class=\"c1 c2\">Kun kliinikot selitt\u00e4v\u00e4t, ett\u00e4:<\/span><\/p>\n<ul class=\"c10 lst-kix_oli5rhk42jyw-0 start\">\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">p\u00e4iv\u00e4aikaiset oireet eiv\u00e4t v\u00e4ltt\u00e4m\u00e4tt\u00e4 est\u00e4 h\u00e4lytyshoidon onnistumista<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">hoitoa seurataan tarkasti ja arvioidaan uudelleen varhain<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">p\u00e4\u00e4t\u00f6kset perustuvat havaittuun hoitovasteeseen eiv\u00e4tk\u00e4 oletuksiin<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c0\"><span class=\"c1 c2\">\u2026perheet kokevat usein enemm\u00e4n osallisuutta, tiedossa oloa ja turvallisuutta.<\/span><\/p>\n<p class=\"c0\"><span class=\"c1 c2\">Selke\u00e4 perustelu vahvistaa luottamusta ja p\u00e4\u00e4t\u00f6ksentekoa yhdess\u00e4.<\/span><\/p>\n<h2 class=\"c4\" id=\"h.ytjpqbvg9wil\"><span class=\"c3 c2\">Joustavampi, potilasl\u00e4ht\u00f6inen l\u00e4hestymistapa<\/span><\/h2>\n<p class=\"c0\"><span class=\"c1 c2\">Moderni enureesin hoito hy\u00f6tyy siirtymisest\u00e4 j\u00e4ykist\u00e4 hoitoketjuista kohti joustavia, yksil\u00f6llisi\u00e4 hoitopolkuja.<\/span><\/p>\n<p class=\"c0\"><span class=\"c1 c2\">T\u00e4m\u00e4 tarkoittaa:<\/span><\/p>\n<ul class=\"c10 lst-kix_ujvb4ytt82wp-0 start\">\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">h\u00e4lytyshoidon aloittamista, kun y\u00f6llinen enuresis on p\u00e4\u00e4oire<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">varhaisen vasteen j\u00e4rjestelm\u00e4llist\u00e4 seurantaa<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">p\u00e4iv\u00e4aikaisten oireiden hoitoa rinnakkain tarpeen mukaan<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">hoidon arviointia edistymisen perusteella, ei ennalta m\u00e4\u00e4riteltyjen poissulkujen<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c0\"><span class=\"c1 c2\">T\u00e4llainen joustavuus sovittaa kliinisen n\u00e4yt\u00f6n todellisten potilastarpeiden kanssa.<\/span><\/p>\n<h2 class=\"c4\" id=\"h.ym0c09mgrl5e\"><span class=\"c2 c3\">Yhteenveto: monimutkaisuus ei tarkoita vasta-aihetta<\/span><\/h2>\n<p class=\"c0\"><span class=\"c1 c2\">P\u00e4iv\u00e4aikainen inkontinenssi on yleist\u00e4 lapsilla, joilla on enuresis.<br \/>Se heijastaa alavirtsateiden monitekij\u00e4ist\u00e4 toimintaa \u2013 ei automaattista estett\u00e4 h\u00e4lytyshoidolle.<\/span><\/p>\n<p class=\"c0\"><span class=\"c1 c2\">Keskittym\u00e4ll\u00e4 varhaiseen hoitovasteeseen eik\u00e4 perusoletuksiin klinikot voivat:<\/span><\/p>\n<ul class=\"c10 lst-kix_xmti16l4kwdp-0 start\">\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">v\u00e4ltt\u00e4\u00e4 tarpeettomat viiveet<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">tukea perheit\u00e4 tehokkaammin<\/span><\/li>\n<li class=\"c0 c5 li-bullet-0\"><span class=\"c1 c2\">tarjota hoitoa, joka on sek\u00e4 n\u00e4ytt\u00f6\u00f6n perustuvaa ett\u00e4 pragmaattista<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c0\"><span class=\"c1 c2\">H\u00e4lytyshoidon tulee perustua vasteeseen, ei j\u00e4ykkiin poissulkukriteereihin.<\/span><\/p>\n<p class=\"c0\"><span class=\"c3 c2\">L\u00e4hteet<\/span><\/p>\n<p class=\"c0 c8\"><span class=\"c1\">Nev\u00e9us T et al. <\/span><span class=\"c1 c7\">Arviointi ja hoito monosymptomaisessa enuresiksess\u00e4: ICCS:n standardisointidokumentti.<\/span><span class=\"c1 c2\">&nbsp;J Urol. 2010.<br \/><\/span><\/p>\n<p class=\"c0 c8\"><span class=\"c1\">Larsson J, Borgstr\u00f6m M, Karanikas B, Nev\u00e9us T. <\/span><span class=\"c1 c7\">H\u00e4lytyshoidon vasteen ja hoitoon sitoutumisen ennustajat enureesissa.<\/span><span class=\"c1 c2\">&nbsp;J Pediatr Urol. 2023.<br \/><\/span><\/p>\n<p class=\"c0 c8\"><span class=\"c1\">Glazener CM, Evans JH. <\/span><span class=\"c1 c7\">H\u00e4lytysinterventiot lasten y\u00f6kasteluun.<\/span><span class=\"c1 c2\">&nbsp;Cochrane Database Syst Rev. 2005.<br \/><\/span><\/p>\n<p class=\"c0 c8\"><span class=\"c1\">Franco I et al. <\/span><span class=\"c1 c7\">Lasten inkontinenssi: arviointi ja kliininen hoito.<\/span><span class=\"c1\">&nbsp;Wiley Blackwell, 2015.<\/span><\/p>\n<p><\/body><\/html><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Julkaistu Pjama Healthcare -osiossa Uudelleenarviointi h\u00e4lytyshoitoa lapsilla, joilla on enuresis ja p\u00e4iv\u00e4aikaiset oireet Kliinisess\u00e4 k\u00e4yt\u00e4nn\u00f6ss\u00e4 y\u00f6kastelusta k\u00e4rsiv\u00e4t lapset n\u00e4ytt\u00e4ytyv\u00e4t usein lis\u00e4n\u00e4 alavirtsateiden oireita. P\u00e4iv\u00e4aikainen inkontinenssi, kiireellisyys tai tihentynyt virtsaamisen tarve ovat yleisi\u00e4 l\u00f6yd\u00f6ksi\u00e4 ja her\u00e4tt\u00e4v\u00e4t&#8230;<\/p>\n","protected":false},"author":6,"featured_media":35111,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[103],"tags":[],"class_list":["post-35109","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pjama-terveys"],"_links":{"self":[{"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/posts\/35109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/comments?post=35109"}],"version-history":[{"count":1,"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/posts\/35109\/revisions"}],"predecessor-version":[{"id":35110,"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/posts\/35109\/revisions\/35110"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/media\/35111"}],"wp:attachment":[{"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/media?parent=35109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/categories?post=35109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pjama.eu\/fi\/wp-json\/wp\/v2\/tags?post=35109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}