{"id":35125,"date":"2026-03-25T13:30:06","date_gmt":"2026-03-25T12:30:06","guid":{"rendered":"https:\/\/pjama.eu\/pjama-zdrowie\/nietrzymanie-moczu-w-ciagu-dnia-nie-jest-przeciwwskazaniem\/"},"modified":"2026-03-25T13:30:20","modified_gmt":"2026-03-25T12:30:20","slug":"nietrzymanie-moczu-w-ciagu-dnia-nie-jest-przeciwwskazaniem","status":"publish","type":"post","link":"https:\/\/pjama.eu\/pl\/pjama-zdrowie\/nietrzymanie-moczu-w-ciagu-dnia-nie-jest-przeciwwskazaniem\/","title":{"rendered":"Nietrzymanie moczu w ci\u0105gu dnia nie jest przeciwwskazaniem"},"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}ul.lst-kix_n52eqsy0nqh0-0{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}.c0{margin-left:72pt;padding-top:12pt;padding-left:0pt;padding-bottom:12pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c8{color:#072130;font-weight:500;text-decoration:none;vertical-align:baseline;font-size:16pt;font-family:\"Zilla Slab\";font-style:normal}.c2{color:#072130;font-weight:300;text-decoration:none;vertical-align:baseline;font-size:12pt;font-family:\"Lato\";font-style:normal}.c11{color:#000000;font-weight:500;text-decoration:none;vertical-align:baseline;font-size:16pt;font-family:\"Zilla Slab\";font-style:normal}.c1{padding-top:12pt;padding-bottom:12pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c10{padding-top:18pt;padding-bottom:4pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c5{padding-top:24pt;padding-bottom:6pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c13{color:#072130;font-weight:400;font-size:12pt;font-family:\"Lato\";font-style:normal}.c3{font-size:12pt;font-family:\"Lato\";color:#072130;font-weight:300}.c4{background-color:#ffffff;max-width:468pt;padding:72pt 72pt 72pt 72pt}.c9{padding:0;margin:0}.c12{text-decoration:none;vertical-align:baseline}.c6{font-style:italic}.c7{margin-left:36pt}.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=\"c4 doc-content\"><\/p>\n<p class=\"c1\"><span class=\"c3 c6 c12\">Opublikowano w Pjama Healthcare<br \/><\/span><\/p>\n<p class=\"c1\"><span class=\"c8\">Przemy\u015blenie terapii alarmowej u dzieci z moczeniem nocnym i objawami w ci\u0105gu dnia<\/span><\/p>\n<p class=\"c1\"><span class=\"c2\">W praktyce klinicznej dzieci z moczeniem nocnym cz\u0119sto zg\u0142aszaj\u0105 dodatkowe objawy dolnych dr\u00f3g moczowych.<br \/>Nietrzymanie moczu w ci\u0105gu dnia, parcie nagl\u0105ce lub cz\u0119stomocz to cz\u0119ste zjawiska, kt\u00f3re cz\u0119sto rodz\u0105 wa\u017cne pytanie:<\/span><\/p>\n<p class=\"c1\"><span class=\"c3\">Czy terapi\u0119 alarmow\u0105 nale\u017cy od\u0142o\u017cy\u0107 do czasu ca\u0142kowitego ust\u0105pienia objaw\u00f3w w ci\u0105gu dnia?<\/span><\/p>\n<p class=\"c1\"><span class=\"c2\">Przez d\u0142ugi czas implicitna odpowied\u017a w wielu \u015brodowiskach brzmia\u0142a \u201etak.\u201d<br \/>Obecne dowody sugeruj\u0105, \u017ce to za\u0142o\u017cenie zas\u0142uguje na ponowne rozwa\u017cenie.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.c1wuqdaksc63\"><span class=\"c8\">Sk\u0105d pochodzi to za\u0142o\u017cenie<\/span><\/h2>\n<p class=\"c1\"><span class=\"c2\">Idea, \u017ce nietrzymanie moczu w ci\u0105gu dnia powinno by\u0107 leczone przed rozpocz\u0119ciem terapii alarmowej, ukszta\u0142towa\u0142a si\u0119 na podstawie obaw o:<\/span><\/p>\n<ul class=\"c9 lst-kix_n52eqsy0nqh0-0 start\">\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">dysfunkcj\u0119 p\u0119cherza zak\u0142\u00f3caj\u0105c\u0105 odpowied\u017a na leczenie<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">obni\u017con\u0105 zgodno\u015b\u0107 w przypadku bardziej z\u0142o\u017conych przypadk\u00f3w<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">strach przed z\u0142ymi wynikami lub niepotrzebnym obci\u0105\u017ceniem dla rodzin<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c2\">W rezultacie niekt\u00f3re dzieci do\u015bwiadczaj\u0105 op\u00f3\u017anie\u0144 w leczeniu moczenia, nawet gdy g\u0142\u00f3wn\u0105 dolegliwo\u015bci\u0105 s\u0105 objawy nocne.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.heddzusfvdsg\"><span class=\"c8\">Co faktycznie pokazuj\u0105 dowody<\/span><\/h2>\n<p class=\"c1\"><span class=\"c2\">Wiele bada\u0144, w tym dane kliniczne z praktyki, wskazuj\u0105, \u017ce nietrzymanie moczu w ci\u0105gu dnia nie jest wiarygodnym predyktorem s\u0142abej odpowiedzi na terapi\u0119 alarmow\u0105.<\/span><\/p>\n<p class=\"c1\"><span class=\"c2\">Kluczowe wnioski zawieraj\u0105:<\/span><\/p>\n<ul class=\"c9 lst-kix_8t0k1d5bf2ar-0 start\">\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">Dzieci z objawami w ci\u0105gu dnia mog\u0105 reagowa\u0107 na terapi\u0119 alarmow\u0105 w podobnym stopniu jak dzieci bez takich objaw\u00f3w.<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">Bazowe nietrzymanie moczu w ci\u0105gu dnia nie przewiduje konsekwentnie braku odpowiedzi.<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">Wczesna odpowied\u017a na leczenie pozostaje silniejszym czynnikiem prognostycznym ni\u017c same objawy w ci\u0105gu dnia.<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c2\">Innymi s\u0142owy, obecno\u015b\u0107 nietrzymania moczu w ci\u0105gu dnia nie uzasadnia automatycznie wstrzymywania lub op\u00f3\u017aniania terapii alarmowej.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.9hvo35ea2z1o\"><span class=\"c8\">Znaczenie wczesnej odpowiedzi ponad cechy wyj\u015bciowe<\/span><\/h2>\n<p class=\"c1\"><span class=\"c2\">Badania coraz bardziej wskazuj\u0105 na sp\u00f3jny wzorzec:<\/span><\/p>\n<ul class=\"c9 lst-kix_d8979nkl0s3u-0 start\">\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">Dane wyj\u015bciowe same w sobie oferuj\u0105 ograniczon\u0105 warto\u015b\u0107 predykcyjn\u0105.<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">Liczy si\u0119 bardziej to, co dzieje si\u0119 w pierwszych tygodniach leczenia.<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c2\">Dzieci, kt\u00f3re wykazuj\u0105 wczesn\u0105 popraw\u0119 moczenia nocnego, prawdopodobnie skorzystaj\u0105 na kontynuacji terapii alarmowej \u2014 niezale\u017cnie od objaw\u00f3w dziennych.<\/span><\/p>\n<p class=\"c1\"><span class=\"c2\">Z kolei brak wczesnej odpowiedzi powinien sk\u0142oni\u0107 do ponownej oceny, niezale\u017cnie od obecno\u015bci nietrzymania moczu w ci\u0105gu dnia.<\/span><\/p>\n<p class=\"c1\"><span class=\"c3\">To przesuwa kliniczne focus z <\/span><span class=\"c3 c6\">kto kwalifikuje si\u0119<\/span><span class=\"c3\">&nbsp;na <\/span><span class=\"c3 c6\">jak dziecko reaguje<\/span><span class=\"c2\">.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.2lh5fg34ce5c\"><span class=\"c8\">Implikacje kliniczne: unikanie niepotrzebnych op\u00f3\u017anie\u0144<\/span><\/h2>\n<p class=\"c1\"><span class=\"c2\">Gdy terapia alarmowa jest odraczana wy\u0142\u0105cznie z powodu nietrzymania moczu w ci\u0105gu dnia, pojawia si\u0119 kilka ryzyk:<\/span><\/p>\n<ul class=\"c9 lst-kix_7gurqhn0495b-0 start\">\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">przed\u0142u\u017cone cierpienie dla dziecka i rodziny<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">utrat\u0119 motywacji zanim leczenie si\u0119 rozpocznie<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">utracon\u0105 szans\u0119 oceny odpowiedzi na leczenie nocne<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">nieefektywne wykorzystanie zasob\u00f3w ochrony zdrowia<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c2\">Rozpocz\u0119cie terapii alarmowej przy jednoczesnym adresowaniu objaw\u00f3w dziennych mo\u017ce w wielu przypadkach by\u0107 rozs\u0105dne i skuteczne.<\/span><\/p>\n<p class=\"c1\"><span class=\"c2\">Wci\u0105\u017c niezb\u0119dny jest os\u0105d kliniczny, szczeg\u00f3lnie w celu wykluczenia patologii podstawowej.<br \/>Lecz sama z\u0142o\u017cono\u015b\u0107 nie powinna by\u0107 uto\u017csamiana z przeciwwskazaniem.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.1x7cp6mxk1dm\"><span class=\"c8\">Wsparcie rodzin poprzez jasne wyja\u015bnienia<\/span><\/h2>\n<p class=\"c1\"><span class=\"c2\">Rodziny cz\u0119sto maj\u0105 trudno\u015bci ze zrozumieniem, dlaczego leczenie jest op\u00f3\u017aniane, gdy moczenie nocne jest g\u0142\u00f3wnym problemem.<\/span><\/p>\n<p class=\"c1\"><span class=\"c2\">Gdy lekarze wyja\u015bniaj\u0105, \u017ce:<\/span><\/p>\n<ul class=\"c9 lst-kix_oli5rhk42jyw-0 start\">\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">objawy dzienne niekoniecznie uniemo\u017cliwiaj\u0105 sukces terapii alarmowej<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">leczenie b\u0119dzie uwa\u017cnie monitorowane i oceniane wcze\u015bnie<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">decyzje opieraj\u0105 si\u0119 na obserwowanej odpowiedzi, a nie na za\u0142o\u017ceniach<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c2\">&hellip;rodziny maj\u0105 tendencj\u0119 do wi\u0119kszego zaanga\u017cowania, informacji i poczucia bezpiecze\u0144stwa.<\/span><\/p>\n<p class=\"c1\"><span class=\"c2\">Jasne uzasadnienie wzmacnia zaufanie i wsp\u00f3lne podejmowanie decyzji.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.ytjpqbvg9wil\"><span class=\"c8\">Bardziej elastyczne, ukierunkowane na pacjenta podej\u015bcie<\/span><\/h2>\n<p class=\"c1\"><span class=\"c2\">Nowoczesna opieka w zakresie moczenia nocnego korzysta na odej\u015bciu od sztywnych sekwencji leczenia na rzecz elastycznych i indywidualnych \u015bcie\u017cek.<\/span><\/p>\n<p class=\"c1\"><span class=\"c2\">Oznacza to:<\/span><\/p>\n<ul class=\"c9 lst-kix_ujvb4ytt82wp-0 start\">\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">rozpocz\u0119cie terapii alarmowej, gdy moczenie nocne jest g\u0142\u00f3wn\u0105 dolegliwo\u015bci\u0105<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">systematyczne monitorowanie wczesnej odpowiedzi<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">r\u00f3wnoczesne adresowanie objaw\u00f3w dziennych, gdy jest to potrzebne<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">ponowna ocena leczenia na podstawie post\u0119p\u00f3w, a nie z g\u00f3ry ustalonych wyklucze\u0144<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c2\">Taka elastyczno\u015b\u0107 \u0142\u0105czy dowody kliniczne z realnymi potrzebami pacjent\u00f3w.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.ym0c09mgrl5e\"><span class=\"c8\">Podsumowanie: z\u0142o\u017cono\u015b\u0107 nie oznacza przeciwwskazania<\/span><\/h2>\n<p class=\"c1\"><span class=\"c2\">Nietrzymanie moczu w ci\u0105gu dnia jest cz\u0119ste u dzieci z moczeniem.<br \/>Odbija ono wieloczynnikow\u0105 natur\u0119 funkcji dolnych dr\u00f3g moczowych \u2014 nie jest automatyczn\u0105 przeszkod\u0105 w terapii alarmowej.<\/span><\/p>\n<p class=\"c1\"><span class=\"c2\">Koncentruj\u0105c si\u0119 na wczesnej odpowiedzi na leczenie, a nie na za\u0142o\u017ceniach bazowych, lekarze mog\u0105:<\/span><\/p>\n<ul class=\"c9 lst-kix_xmti16l4kwdp-0 start\">\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">unikn\u0105\u0107 niepotrzebnych op\u00f3\u017anie\u0144<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">lepiej wspiera\u0107 rodziny<\/span><\/li>\n<li class=\"c0 li-bullet-0\"><span class=\"c2\">zapewni\u0107 opiek\u0119 zar\u00f3wno opart\u0105 na dowodach, jak i pragmatyczn\u0105<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c2\">Terapia alarmowa powinna by\u0107 prowadzona na podstawie odpowiedzi, nie sztywnych kryteri\u00f3w wykluczenia.<\/span><\/p>\n<p class=\"c1\"><span class=\"c8\">Bibliografia<\/span><\/p>\n<p class=\"c1 c7\"><span class=\"c3\">Nev&eacute;us T et al. <\/span><span class=\"c3 c6\">Ocena i leczenie monosymptomatycznego moczenia: dokument standaryzacyjny ICCS.<\/span><span class=\"c2\">&nbsp;J Urol. 2010.<br \/><\/span><\/p>\n<p class=\"c1 c7\"><span class=\"c3\">Larsson J, Borgstr&ouml;m M, Karanikas B, Nev&eacute;us T. <\/span><span class=\"c3 c6\">Predyktory odpowiedzi i zgodno\u015bci z terapi\u0105 alarmow\u0105 moczenia.<\/span><span class=\"c2\">&nbsp;J Pediatr Urol. 2023.<br \/><\/span><\/p>\n<p class=\"c1 c7\"><span class=\"c3\">Glazener CM, Evans JH. <\/span><span class=\"c3 c6\">Interwencje alarmowe w leczeniu moczenia nocnego u dzieci.<\/span><span class=\"c2\">&nbsp;Cochrane Database Syst Rev. 2005.<br \/><\/span><\/p>\n<p class=\"c1 c7\"><span class=\"c3\">Franco I et al. <\/span><span class=\"c3 c6\">Nietrzymanie moczu u dzieci: ocena i zarz\u0105dzanie kliniczne.<\/span><span class=\"c3\">&nbsp;Wiley Blackwell, 2015.<\/span><\/p>\n<p><\/body><\/html><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Opublikowano w Pjama Healthcare Przemy\u015blenie terapii alarmowej u dzieci z moczeniem nocnym i objawami w ci\u0105gu dnia W praktyce klinicznej dzieci z moczeniem nocnym cz\u0119sto zg\u0142aszaj\u0105 dodatkowe objawy dolnych dr\u00f3g moczowych. Nietrzymanie moczu w ci\u0105gu&#8230;<\/p>\n","protected":false},"author":6,"featured_media":35127,"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":[107],"tags":[],"class_list":["post-35125","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pjama-zdrowie"],"_links":{"self":[{"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/posts\/35125","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/comments?post=35125"}],"version-history":[{"count":1,"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/posts\/35125\/revisions"}],"predecessor-version":[{"id":35126,"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/posts\/35125\/revisions\/35126"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/media\/35127"}],"wp:attachment":[{"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/media?parent=35125"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/categories?post=35125"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pjama.eu\/pl\/wp-json\/wp\/v2\/tags?post=35125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}