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Slab\";font-style:normal}.c13{padding-top:24pt;padding-bottom:6pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c9{padding-top:18pt;padding-bottom:4pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c2{padding-top:12pt;padding-bottom:12pt;line-height:1.15;orphans:2;widows:2;text-align:left}.c3{font-size:12pt;font-family:\"Lato\";color:#072130;font-weight:300}.c1{font-size:23pt;font-family:\"Zilla Slab\";color:#072130;font-weight:500}.c10{font-size:17pt;font-family:\"Zilla Slab\";color:#072130;font-weight:500}.c15{color:#072130;font-weight:400;font-size:17pt;font-family:\"Lato\"}.c17{font-size:23pt;font-family:\"Lato\";color:#072130;font-weight:400}.c16{background-color:#ffffff;max-width:468pt;padding:72pt 72pt 72pt 72pt}.c14{text-decoration:none;vertical-align:baseline;font-style:italic}.c8{padding:0;margin:0}.c5{margin-left:72pt;padding-left:0pt}.c6{height:11pt}<\/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=\"c16 doc-content\"><\/p>\n<p class=\"c2\"><span class=\"c10\">Hur kan v\u00e5rden b\u00e4st st\u00f6dja barn och familjer som lever med enures?<\/span><br \/><span class=\"c0\"><br \/>Detta var den centrala fr\u00e5gan f\u00f6r det digitala webbinariet &bdquo;Enuresbehandling fr\u00e5n flera perspektiv \u2013 evidens, riktlinjer och verklig erfarenhet&rdquo; som h\u00f6lls den 22 januari 2026.<\/span><\/p>\n<p class=\"c2\"><span class=\"c0\">Webbinariet organiserades i samarbete mellan Region Blekinge, Wellspect, Essity och Pjama AB, och riktade sig till v\u00e5rdpersonal som arbetar med barn drabbade av enures, b\u00e5de inom prim\u00e4rv\u00e5rd och specialistv\u00e5rd.<\/span><\/p>\n<p class=\"c2\"><span class=\"c0\">M\u00e5let var tydligt: att st\u00e4rka den kliniska kompetensen genom att sammanf\u00f6ra aktuell forskning, klinisk erfarenhet samt patient- och familjeperspektiv \u2013 och d\u00e4rigenom bidra till en mer j\u00e4mlik och empatisk v\u00e5rd.<\/span><\/p>\n<h2 class=\"c9\" id=\"h.6qj05n6953l5\"><span class=\"c7\">Ny evidens f\u00f6r\u00e4ndrar hur vi ser p\u00e5 behandling<\/span><\/h2>\n<p class=\"c2\"><span class=\"c0\">Professor Tryggve Nev\u00e9us, professor i pediatrik och \u00f6verl\u00e4kare vid Uppsala universitetssjukhus, inledde webbinariet med en \u00f6versikt \u00f6ver epidemiologi, patofysiologi och evidensbaserade behandlingsstrategier f\u00f6r enures.<\/span><\/p>\n<p class=\"c2\"><span class=\"c3\">Ett huvudbudskap var tydligt:<br \/>senaste forskningen har f\u00f6r\u00e4ndrat hur enuresbehandling b\u00f6r f\u00f6rst\u00e5s och hanteras.<\/span><\/p>\n<p class=\"c2\"><span class=\"c0\">Enures \u00e4r vanligt f\u00f6rekommande i alla kulturer och drabbar inte bara barn \u2013 minst 0,5 % av vuxna lever med best\u00e5ende symtom. Trots detta finns fortfarande betydande variationer i bed\u00f6mning och behandlingspraxis inom v\u00e5rdsystemen.<\/span><\/p>\n<p class=\"c2\"><span class=\"c0\">Forskning visar att nattlig enures s\u00e4llan har en enda orsak. Ist\u00e4llet involverar det ofta en kombination av faktorer s\u00e5som:<\/span><\/p>\n<ul class=\"c8 lst-kix_5i07867vwjzu-0 start\">\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">nattlig polyuri<\/span><\/li>\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">\u00f6veraktiv detrusor<\/span><\/li>\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">h\u00f6ga uppvakningsgr\u00e4nser under s\u00f6mn<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c2\"><span class=\"c0\">Detta understryker vikten av individualiserad, evidensbaserad behandling snarare \u00e4n att f\u00f6rlita sig p\u00e5 allm\u00e4nna r\u00e5d eller l\u00e5ngvariga rutiner.<\/span><\/p>\n<p class=\"c2 c6\"><span class=\"c0\"><\/span><\/p>\n<h2 class=\"c9\" id=\"h.abg56jg1h530\"><span class=\"c7\">Att g\u00e5 bortom &bdquo;v\u00e4lmenande r\u00e5d&rdquo;<\/span><\/h2>\n<p class=\"c2\"><span class=\"c0\">En viktig del av presentationen fokuserade p\u00e5 att utmana traditionella rekommendationer som fortfarande ofta ges i praktiken, s\u00e5som:<\/span><\/p>\n<ul class=\"c8 lst-kix_pm5ibw5w5o72-0 start\">\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">att begr\u00e4nsa v\u00e4tskeintaget p\u00e5 kv\u00e4llen<\/span><\/li>\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c3\">att v\u00e4cka barnet p\u00e5 natten f\u00f6r att kissa<\/span><\/li>\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">att anta en &bdquo;v\u00e4nta och se&rdquo;-strategi<\/span><\/li>\n<\/ul>\n<p class=\"c2\"><span class=\"c0\">Enligt aktuell evidens har dessa \u00e5tg\u00e4rder begr\u00e4nsad eller ingen effekt vid behandling av enures. Likas\u00e5 saknar grundl\u00e4ggande bl\u00e5str\u00e4ning evidens som f\u00f6rstahandsbehandling \u2013 vilket markerar ett viktigt skifte i kliniskt t\u00e4nkande.<\/span><\/p>\n<p class=\"c2\"><span class=\"c0\">Ist\u00e4llet har strukturerade behandlingsmetoder s\u00e5som enureslarm och desmopressin, n\u00e4r de \u00e4r korrekt indicerade, f\u00f6ljs upp och utv\u00e4rderas, starkt vetenskapligt st\u00f6d.<\/span><\/p>\n<p class=\"c2 c6\"><span class=\"c0\"><\/span><\/p>\n<h2 class=\"c9\" id=\"h.nlhk3blwtwtl\"><span class=\"c10\">Kliniska implikationer: n\u00e4r struktur \u00e4r viktigare \u00e4n uth\u00e5llighet<\/span><\/h2>\n<p class=\"c2\"><span class=\"c0\">Att k\u00e4nna igen vikten av tidig respons f\u00f6r\u00e4ndrar hur larmterapi kan hanteras i praktiken.<\/span><\/p>\n<p class=\"c2\"><span class=\"c0\">Tidiga uppf\u00f6ljningar ger kliniker m\u00f6jlighet att:<\/span><\/p>\n<ul class=\"c8 lst-kix_27auzgaajsls-0 start\">\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">identifiera de som inte svarar p\u00e5 behandlingen snabbare<\/span><\/li>\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">justera f\u00f6rv\u00e4ntningarna tillsammans med familjerna<\/span><\/li>\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">ompr\u00f6va behandlingens timing eller metod<\/span><\/li>\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">minska on\u00f6dig belastning p\u00e5 barnet och v\u00e5rdgivare<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c2\"><span class=\"c0\">Viktigt \u00e4r att v\u00e4lja att pausa eller avsluta en behandling som inte visar tidig effekt inte \u00e4r ett misslyckande. I m\u00e5nga fall representerar det ist\u00e4llet en b\u00e4ttre, mer individualiserad v\u00e5rd.<\/span><\/p>\n<p class=\"c2\"><span class=\"c0\">En strukturerad metod f\u00f6r tidig utv\u00e4rdering st\u00f6djer kliniskt beslutsfattande och bidrar till att undvika passiva &bdquo;v\u00e4nta och se&rdquo;-strategier.<\/span><\/p>\n<h2 class=\"c9\" id=\"h.xc4glpslrhdz\"><span class=\"c7\">Paneldiskussion: n\u00e4r riktlinjer m\u00f6ter vardagsrealitet<\/span><\/h2>\n<p class=\"c2\"><span class=\"c0\">Efter f\u00f6rel\u00e4sningen samlade en paneldiskussion tre perspektiv:<\/span><\/p>\n<ul class=\"c8 lst-kix_iaowngvhxk6c-0 start\">\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">en f\u00f6r\u00e4lder som delar sin erfarenhet av att ha ett barn med enures<\/span><\/li>\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">en distriktsjuksk\u00f6terska som ger insikt i vardagspraktiken inom prim\u00e4rv\u00e5rden<\/span><\/li>\n<li class=\"c2 c5 li-bullet-0\"><span class=\"c0\">Professor Nev\u00e9us, som knyter samtalet tillbaka till forskning och riktlinjer<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c2\"><span class=\"c0\">Samtalet leddes av Jens Larsson, uro- och tarmterapeut samt barnsjuksk\u00f6terska, och fokuserade p\u00e5 hur behandling av enures upplevs i verkligheten, utmaningar i v\u00e5rdf\u00f6rloppet och hur v\u00e5rden kan bli b\u00e4ttre p\u00e5 att st\u00f6dja barn och familjer.<\/span><\/p>\n<h2 class=\"c9\" id=\"h.520r9aqnxhk0\"><span class=\"c10\">Ett gemensamt ansvar i v\u00e5rdkedjan<\/span><\/h2>\n<p class=\"c2\"><span class=\"c0\">Webbinariet lyfte fram behovet av tydligare roller och samarbete mellan olika v\u00e5rdniv\u00e5er. Med r\u00e4tt kunskap och verktyg kan b\u00e5de prim\u00e4rv\u00e5rd och specialistv\u00e5rd spela en avg\u00f6rande roll f\u00f6r att s\u00e4kerst\u00e4lla effektiv, s\u00e4ker och evidensbaserad behandling \u2013 samtidigt som on\u00f6dig skuld, skam och stress minskas f\u00f6r barn och deras familjer.<\/span><\/p>\n<h2 class=\"c9\" id=\"h.xxj3u66avef\"><span class=\"c10\">Varf\u00f6r Pjama \u00e4r engagerade<\/span><\/h2>\n<p class=\"c2\"><span class=\"c0\">P\u00e5 Pjama AB arbetar vi f\u00f6r att minska stigmat kring enures och inkontinens och st\u00f6dja l\u00f6sningar som \u00e4r f\u00f6rankrade i b\u00e5de vetenskaplig evidens och verkliga behov. Att delta som samarrang\u00f6r i utbildningsinitiativ som detta webbinarie \u00e4r en naturlig f\u00f6rl\u00e4ngning av v\u00e5rt engagemang f\u00f6r barn, familjer och v\u00e5rdpersonal.<\/span><\/p>\n<p class=\"c2\"><span class=\"c3\">N\u00e4r forskning, klinisk expertis och erfarenhet m\u00f6ts skapas b\u00e4ttre f\u00f6ruts\u00e4ttningar f\u00f6r en v\u00e5rd som verkligen g\u00f6r skillnad.<\/span><\/p>\n<p><\/body><\/html><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hur kan v\u00e5rden b\u00e4st st\u00f6dja barn och familjer som lever med enures?Detta var den centrala fr\u00e5gan f\u00f6r det digitala webbinariet &bdquo;Enuresbehandling fr\u00e5n flera perspektiv \u2013 evidens, riktlinjer och verklig erfarenhet&rdquo; som h\u00f6lls den 22 januari 2026. Webbinariet organiserades i samarbete mellan Region Blekinge, Wellspect, Essity och Pjama AB, och riktade sig till v\u00e5rdpersonal som arbetar [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":30775,"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":[109],"tags":[],"class_list":["post-30774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pjama-sjukvard"],"_links":{"self":[{"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/posts\/30774","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/comments?post=30774"}],"version-history":[{"count":1,"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/posts\/30774\/revisions"}],"predecessor-version":[{"id":30776,"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/posts\/30774\/revisions\/30776"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/media\/30775"}],"wp:attachment":[{"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/media?parent=30774"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/categories?post=30774"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pjama.eu\/sv\/wp-json\/wp\/v2\/tags?post=30774"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}