{"id":5643,"date":"2023-08-09T14:16:18","date_gmt":"2023-08-09T12:16:18","guid":{"rendered":"https:\/\/wordpress.vecurosoft.com\/kiddino\/?p=82"},"modified":"2025-11-26T17:20:56","modified_gmt":"2025-11-26T17:20:56","slug":"eyvah-cocugum-altina-kaciriyor","status":"publish","type":"post","link":"https:\/\/sidekresbursa.com.tr\/index.php\/2023\/08\/09\/eyvah-cocugum-altina-kaciriyor\/","title":{"rendered":"Eyvah \u00c7ocu\u011fum Alt\u0131na Ka\u00e7\u0131r\u0131yor!"},"content":{"rendered":"\t\t
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\u00a0<\/h1>\n<\/div>\n<\/div>\n
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\u00a0 Tuvalet e\u011fitimi; \u00e7ocu\u011fun uyku ve uyan\u0131kl\u0131k durumunda d\u0131\u015fk\u0131 ve idrar kontrol\u00fcn\u00fc kazanmas\u0131, yard\u0131m ve an\u0131msatma olmadan tuvaletinin geldi\u011fini fark ederek, tuvalete gidip gereksinimini gidermesidir. Bir ba\u015fka de\u011fi\u015fle \u2018\u00e7ocu\u011fun mesane ve ba\u011f\u0131rsak kontrol\u00fcn\u00fc hem g\u00fcnd\u00fcz, hem gece sa\u011flayabilmesi ve bu i\u015flevi ba\u011f\u0131ms\u0131z olarak ger\u00e7ekle\u015ftirebilmesidir\u2019. Sa\u011fl\u0131kl\u0131 \u00e7ocuklar eninde sonunda bu s\u00fcreci ge\u00e7erek tuvalet e\u011fitimini tamamlamaktad\u0131rlar. Ancak \u00e7ocu\u011fun ba\u011f\u0131ms\u0131zl\u0131\u011f\u0131n\u0131 en fazla destekleyen d\u00f6nem olmas\u0131 sebebi ile bu s\u00fcre\u00e7te \u00e7ocuk \u00fczerinde bask\u0131 kurulmas\u0131 ve anne-baba ile \u00e7ocuk aras\u0131ndaki g\u00fc\u00e7 m\u00fccadelesi, ebeveyn-\u00e7ocuk ili\u015fkisini k\u00f6t\u00fc etkileyerek i\u015feme bozukluklar\u0131, en\u00fcrezis, enkoprezis gibi istenmeyen durumlara yol a\u00e7abilir<\/p>\n

\u00a0 Tuvalet e\u011fitiminin ba\u015flayaca\u011f\u0131 d\u00f6nem 1-3 ya\u015f aral\u0131\u011f\u0131na denk gelmektedir. Bu d\u00f6nem (1-3 ya\u015f) \u00e7ocu\u011fun kendini fark etti\u011fi d\u00f6nemdir. Tuvalet e\u011fitimine ne zaman ba\u015flanaca\u011f\u0131 konusunda her \u00e7ocuk i\u00e7in ge\u00e7erli bir tarih yoktur. Ge\u00e7mi\u015f y\u0131llarda daha erken ya\u015fta ba\u015flanan tuvalet e\u011fitiminin ba\u015flang\u0131\u00e7 ya\u015f\u0131 gittik\u00e7e ileri d\u00f6neme kaym\u0131\u015ft\u0131r. 1940\u2019larda tuvalet e\u011fitimi 18 ay alt\u0131nda ba\u015flarken, Bat\u0131 kaynakl\u0131 yap\u0131lan yeni \u00e7al\u0131\u015fmalarda bu e\u011fitime art\u0131k 21 ve 36 ay aras\u0131 ba\u015fland\u0131\u011f\u0131 g\u00f6sterilmektedir. Son zamanlarda yap\u0131lan \u00e7al\u0131\u015fmalarda, 36. ayda tuvalet e\u011fitimini tamamlama oran\u0131 %40 ile %60 aras\u0131 olarak g\u00f6sterilmi\u015ftir. Ek olarak belirtmek gerekir ki geli\u015fimsel olarak normal olan \u00e7ocuklarda e\u011fitim s\u00fcresince %29\u2019unda tuvalete gitmeyi reddetme, %14,1\u2019inde e\u011fitimde geriye d\u00f6n\u00fc\u015f, %7,9\u2019unda ise tekrar bez ba\u011flanmas\u0131n\u0131 isteme g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n

Normal Geli\u015fen \u00c7ocuklarda Tuvalet E\u011fitimine Haz\u0131r Olma \u0130\u015faretleri Nelerdir?<\/strong><\/h2>\n

\u00a0\u2022 Basit direktifleri takip etmesi<\/p>\n

\u00a0\u2022 Ba\u011f\u0131ms\u0131zl\u0131k g\u00f6sterebilmesi ve \u201chay\u0131r\u2019\u2019 diyebilmesi<\/p>\n

\u00a0\u2022 D\u00fczenli ve tahmin edilebilir ba\u011f\u0131rsak hareketlerinin olmas\u0131<\/p>\n

\u00a0\u2022 Anne babay\u0131 taklit etmesi<\/p>\n

\u00a0\u2022 Kendi ba\u015f\u0131na giysileri \u00e7\u0131kar\u0131p\/giyebilmesi<\/p>\n

\u00a0\u2022 Otura\u011f\u0131 kullanmaya ilgili olmas\u0131<\/p>\n

\u00a0\u2022 2 saat boyunca alt\u0131n\u0131n kuru kalabilmesi ve \u0131slak alt bezinin azalmas\u0131<\/p>\n

\u00a0\u2022 Y\u00fcr\u00fcme, oturma ve \u00e7\u00f6melme gibi kaba motor becerilerin geli\u015fmesi<\/p>\n

\u00a0\u2022 Bo\u015falt\u0131m gereksinimini s\u00f6zl\u00fc ya da s\u00f6zl\u00fc olma yan ileti\u015fim y\u00f6ntemleri ile anlatabilmesi<\/p>\n

\u00a0\u2022 Kirli alt bezinden rahats\u0131z olmas\u0131 ve hemen de\u011fi\u015fmesini istemesi<\/p>\n

Tuvalet E\u011fitimi Verilirken Dikkat Edilmesi Gerekenler Nelerdir?<\/strong><\/h2>\n

\u00a0 Tuvalet al\u0131\u015fkanl\u0131\u011f\u0131n\u0131 \u00e7ocu\u011fa vaktinden \u00f6nce kazand\u0131rmaya \u00e7al\u0131\u015fmak uzun s\u00fcre devam edebilecek korku ve \u00e7at\u0131\u015fmalara neden olma riskini beraberinde getirir. Tuvalet al\u0131\u015fkanl\u0131\u011f\u0131 kazanmada ebeveynlerin \u00e7ocu\u011fu cesaretlendirici ve \u00f6zendirici bir tutum tak\u0131nmalar\u0131 olduk\u00e7a \u00f6nemlidir. Oturak ve i\u00e7 \u00e7ama\u015f\u0131r\u0131 kullan\u0131m\u0131 \u00e7ocu\u011fa bir ayr\u0131cal\u0131k gibi sunulmal\u0131d\u0131r. Bir oyuncak yard\u0131m\u0131 ile oturak kullanarak tuvalet al\u0131\u015fkanl\u0131\u011f\u0131 ile ilgili oyun oynatmak da yard\u0131mc\u0131 olabilir. \u00c7ocu\u011fun otura\u011fa oturma al\u0131\u015fkanl\u0131\u011f\u0131n\u0131 kazand\u0131rmak i\u00e7in ba\u015flang\u0131\u00e7ta giyinik olarak otura\u011fa oturtulabilir. Tuvalet e\u011fitiminde \u00e7ok kat\u0131 ve bask\u0131c\u0131 tutum sergilenmesi, \u00e7ocuk istismar\u0131 say\u0131labilece\u011fi gibi, yeti\u015fkin d\u00f6neminde m\u00fckemmelliyet\u00e7ilik, a\u015f\u0131r\u0131 titizlik gibi e\u011filimlere olas\u0131l\u0131k verebilir. \u00c7ocu\u011fun durumuna g\u00f6re bask\u0131c\u0131 olmayan bir tutumla tuvalet e\u011fitimi vermek gerekir. Ayr\u0131ca \u00e7ocu\u011fun gizlili\u011fine de \u00f6zen g\u00f6sterilmelidir.<\/p>\n

\u00a0 \u00c7ocuklar genellikle ikinci ya\u015f sonunda d\u0131\u015fk\u0131lar\u0131n\u0131, \u00fc\u00e7\u00fcnc\u00fc ya\u015f sonunda idrar\u0131n\u0131 tutmay\u0131 \u00f6\u011frenirler. Ancak d\u00f6rt-be\u015f ya\u015f\u0131na gelinceye kadar g\u00fcnd\u00fczleri, s\u0131kl\u0131kla da geceleri alt\u0131n\u0131 \u0131slatabilirler. Anne babalar bu \u00e7ocuklara kar\u015f\u0131 anlay\u0131\u015fl\u0131 olmal\u0131, onlar\u0131 azarlama, su\u00e7lama, cezaland\u0131rma gibi davran\u0131\u015flardan ka\u00e7\u0131nmal\u0131d\u0131r. Aksi takdirde \u00e7ocukta, idrar\u0131n\u0131 tutma, yaln\u0131zca beze idrar yapma konusunda \u0131srar etme, idrar ka\u00e7\u0131rmalar sonras\u0131nda panik ataklar, h\u0131\u00e7k\u0131r\u0131k ve \u00f6fke n\u00f6betleri g\u00f6r\u00fcl\u00fcr, \u00e7ocu\u011fun ve ailenin i\u015flev d\u00fczeyi bozulabilir ve fiziksel istismara yol a\u00e7abilir. \u00c7ocu\u011fun hastal\u0131\u011f\u0131, ebeveynlerin bo\u015fanmas\u0131, yeni karde\u015fin olmas\u0131, ta\u015f\u0131nma, yak\u0131n zamanda tatile gidilecek olmas\u0131 tuvalet e\u011fitiminin ba\u015far\u0131s\u0131n\u0131 engelleyebilece\u011fi i\u00e7in tuvalet e\u011fitimini ertelemek gerekebilir.<\/p>\n

\u00a0 Tuvalet e\u011fitimi verirken uygun bir y\u00f6ntem se\u00e7ilmeli ve bu y\u00f6ntem de\u011fi\u015ftirilmemeli, g\u00fcnl\u00fck bo\u015falt\u0131m rutinine g\u00f6re \u00e7ocu\u011fun 1-2 saatte bir d\u00fczenli olarak tuvalete oturtularak d\u0131\u015fk\u0131 ve idrar\u0131n\u0131 yapmas\u0131 beklenmelidir. Tuvalet e\u011fitimine ba\u015flad\u0131ktan sonra \u00e7ocu\u011fa kesinlikle bez tak\u0131lmamal\u0131d\u0131r. E\u011fer bez g\u00fcnd\u00fcz \u00e7\u0131kar\u0131l\u0131p gece tak\u0131l\u0131rsa \u00e7ocuk idrar\u0131n\u0131 ne zaman tutup ne zaman b\u0131rakaca\u011f\u0131 konusunda karars\u0131zl\u0131k ya\u015far. E\u011fer \u00e7ocuk d\u0131\u015fk\u0131 ve idrar\u0131n\u0131 tuvalete yapmaya diren\u00e7 g\u00f6sterirse e\u011fitim durdurulmal\u0131, 30-60 g\u00fcn s\u00fcre beklenip ve yeniden ba\u015flanmal\u0131d\u0131r. \u00c7ocu\u011fun d\u0131\u015fk\u0131s\u0131ndan i\u011frenmemesi i\u00e7in \u201d\u00e7ok k\u00f6t\u00fc kokuyor\u201d, \u201dpis oldu\u201d gibi olumsuz s\u00f6zel ve beden dili ifadelerinin kullan\u0131lmamas\u0131 gerekir. Kazalardan sonra \u00e7ocuk, d\u0131\u015fk\u0131 veya idrar\u0131n\u0131 tuvalete yapma konusunda te\u015fvik edilmeli, \u00f6d\u00fcller kullan\u0131lmal\u0131d\u0131r.<\/p>\n

\u0130\u015feme ile \u0130lgili Sorunlar Nelerdir?<\/strong><\/h2>\n
    \n
  • En\u00fcrezis<\/strong>, haftada en ez 2 kez tekrarlayan, fark\u0131nda olmadan idrar ka\u00e7\u0131rma durumudur. Diurnal veya nokt\u00fcrnal olabilir. Erkeklerde nokt\u00fcrnal en\u00fcrezis k\u0131zlara g\u00f6re 2 kat daha fazla g\u00f6r\u00fclmektedir. Primer nokt\u00fcrnal en\u00fcrezis, 5 ya\u015f\u0131ndaki \u00e7ocuklar\u0131n %20\u2019sinde, 6 ya\u015f\u0131ndaki \u00e7ocuklar\u0131n %10\u2019unda g\u00f6r\u00fclmektedir. Bir b\u00f6l\u00fcm\u00fc kendili\u011finden d\u00fczelmektedir (y\u0131lda %15\u2019i). Organik sebepler bu \u00e7ocuklar\u0131n sadece %2-3\u2019\u00fcnde g\u00f6r\u00fclmektedir.4-6 ya\u015f aras\u0131 \u00e7ocuklar\u0131n %20 kadar\u0131nda g\u00fcnd\u00fcz idrar ka\u00e7\u0131rma al\u0131\u015fkanl\u0131\u011f\u0131 olup, %3\u2019\u00fc haftada 2 veya 3 kez alt\u0131n\u0131 \u0131slatmaktad\u0131r. S\u0131kl\u0131\u011f\u0131 ya\u015fla birlikte azalmakta olup okul \u00e7a\u011f\u0131ndaki \u00e7ocuklarda \u00f6nemli bir stres fakt\u00f6r\u00fc olarak ele al\u0131nmakta.\u00a0A\u015f\u0131r\u0131 aktif mesane, i\u015femeyi geciktirme, disfonksiyonel i\u015feme, g\u00fclme inkontinans\u0131<\/em><\/strong>\u00a0gibi durumlar g\u00fcnd\u00fcz idrar ka\u00e7\u0131rman\u0131n sebebi olabilmekte, \u00e7ocuklarda bu belirtiler zaman i\u00e7inde farkl\u0131l\u0131k g\u00f6sterebilmektedir.<\/li>\n
  • \u0130\u015feme bozuklu\u011fu<\/strong>\u00a0(mesane disfonksiyonu, i\u015feme disfonksiyonu) mesanenin dolum ve bo\u015falt\u0131m\u0131ndaki anormallikleri tan\u0131mlamak i\u00e7in kullan\u0131lan genel bir terimdir. \u00c7ocuklarda yayg\u0131n bir problemdir. Baz\u0131 \u00e7ocuklarda i\u015feme bozuklu\u011fu, ba\u011f\u0131rsak ve mesane disfonksiyonunun bir di\u011fer deyi\u015fle eliminasyon bozuklu\u011funun bir par\u00e7as\u0131d\u0131r.<\/li>\n
  • Aciliyet<\/strong>, aniden veya beklenmedik bir anda acil i\u015feme ihtiyac\u0131d\u0131r.<\/li>\n<\/ul>\n

    Dikkat:<\/em><\/strong>\u00a0Gece mesane kontrol\u00fc aylar veya y\u0131llar sonra tamamlan\u0131r ki bu da 5-7 ya\u015f civar\u0131na denk gelmektedir.<\/p>\n

    D\u0131\u015fk\u0131lama ile \u0130lgili Sorunlar Nelerdir?<\/strong><\/h2>\n
      \n
    • Enkoprezis<\/strong>, istemli veya istemsiz olarak d\u0131\u015fk\u0131 ka\u00e7\u0131rma olarak tan\u0131mlanmakta ve enkoprezisi olan \u00e7ocuklar\u0131n \u00e7ok b\u00fcy\u00fck \u00e7o\u011funlu\u011funda kab\u0131zl\u0131k da bulunmaktad\u0131r. S\u0131k olmayan ba\u011f\u0131rsak bo\u015falt\u0131m\u0131, sert k\u0131vamda par\u00e7al\u0131 d\u0131\u015fk\u0131lama, a\u011fr\u0131l\u0131 veya zorlanarak d\u0131\u015fk\u0131lama, geni\u015f \u00e7apta d\u0131\u015fk\u0131lama ve enkoprezisi de i\u00e7eren belirtiler kab\u0131zl\u0131k kavram\u0131 i\u00e7ine girmektedir.Tuvalet e\u011fitimi \u00e7ocuklarda d\u0131\u015fk\u0131lama s\u0131kl\u0131\u011f\u0131nda azalmaya yol a\u00e7ar. Bu nedenle d\u0131\u015fk\u0131lama bazen sert ve a\u011fr\u0131l\u0131 olmakta, sonras\u0131nda istemli olarak d\u0131\u015fk\u0131 tutmaya kadar gidebilmektedir. Bu problem \u00f6zellikle geli\u015fimsel olarak tuvalet e\u011fitimine haz\u0131r olunmad\u0131\u011f\u0131nda daha \u00e7ok g\u00f6r\u00fclmektedir.<\/li>\n<\/ul>\n

      \u00a0 Tuvalet e\u011fitimi s\u00fcresince baz\u0131 \u00e7ocuklar d\u0131\u015fk\u0131 tutmay\u0131 ve s\u00f6ylemeyi \u00f6\u011frenmesine ra\u011fmen bez ba\u011flanmas\u0131n\u0131 isteyebilmektedir. Bu durum geriye d\u00f6n\u00fc\u015f (regresyon) olarak adland\u0131r\u0131lmaktad\u0131r. Tuvalet e\u011fitiminin normal bir par\u00e7as\u0131 olarak kabul edilmekle birlikte, s\u0131k tekrarlamas\u0131 ana-babalarda kafa kar\u0131\u015f\u0131kl\u0131\u011f\u0131na ve \u00fcz\u00fcnt\u00fcye yol a\u00e7makta, tuvalet e\u011fitimini bask\u0131 alt\u0131nda s\u00fcrd\u00fcrmelerine neden olmaktad\u0131r.<\/p>\n

      \u00a0 Schonwald ve arkada\u015flar\u0131n\u0131n yapt\u0131klar\u0131 kesitsel bir \u00e7al\u0131\u015fmada, i\u015feme ve d\u0131\u015fk\u0131lama problemleri nedeniyle ba\u015fvuran \u00e7ocuklar\u0131n, tuvalet e\u011fitimi s\u00fcresince daha zor adapte olan, daha \u00e7ok diren\u00e7 g\u00f6steren \u00e7ocuklar oldu\u011fu saptanm\u0131\u015ft\u0131r. Geni\u015f bir uzun d\u00f6nem \u00e7al\u0131\u015fmada, d\u0131\u015fk\u0131lamada geri d\u00f6n\u00fc\u015f ya\u015fayan \u00e7ocuklar\u0131n daha \u00e7ok a\u011fr\u0131l\u0131 barsak hareketleri ve a\u011fr\u0131l\u0131 defekasyon \u00f6yk\u00fcs\u00fc olan \u00e7ocuklar oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Bu nedenle d\u0131\u015fk\u0131lama al\u0131\u015fkanl\u0131\u011f\u0131nda geriye d\u00f6n\u00fc\u015f ya\u015fayan \u00e7ocuklarda kab\u0131zl\u0131\u011f\u0131n tedavi edilmesi bu durumun s\u0131kl\u0131\u011f\u0131n\u0131 azaltmada \u00f6nemli bir etkendir<\/p>\n

      Dikkat:<\/em><\/strong>\u00a0Oyun s\u0131ras\u0131nda d\u0131\u015fk\u0131s\u0131n\u0131 tutanlar\u0131n %31,2\u2019sinde 18-24 ayda ve %31,2\u2019sinde 25-36 ayda tuvalet e\u011fitimine ba\u015fland\u0131\u011f\u0131 g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Bu oranlar 36 ayda ba\u015flayanlara g\u00f6re y\u00fcksektir. Sonu\u00e7 istatistiksel olarak anlaml\u0131 bulunmu\u015ftur.<\/p>\n

      Tuvalet E\u011fitimini ve \u0130\u015feme-D\u0131\u015fk\u0131lama Bozukluklar\u0131n\u0131 Etkileyen Fakt\u00f6rler Nelerdir?<\/strong><\/h2>\n
        \n
      • \u00c7ocu\u011fa Ba\u011fl\u0131 Fakt\u00f6rler:<\/em><\/strong><\/li>\n
      • Cinsiyet<\/em>: \u00c7ocu\u011fun cinsiyeti, d\u0131\u015fk\u0131-idrar kontrol\u00fc ve tuvalet becerisini kazanmas\u0131nda \u00e7ocu\u011fa ait fakt\u00f6rlerden biridir.K\u0131z \u00e7ocuklar\u0131 18. aydan sonra idrar kontrol\u00fc kazan\u0131rken, erkek \u00e7ocuklar 22. aydan sonra kazanabilmektedir.<\/li>\n
      • Ya\u015f<\/em>: \u00c7ocu\u011fa ait bireysel farkl\u0131l\u0131klardan di\u011feri \u00e7ocu\u011fun ya\u015f\u0131d\u0131r. \u00c7ocu\u011fun alt\u0131n\u0131 \u0131slatt\u0131\u011f\u0131n\u0131 veya idrar\u0131n\u0131 tutmas\u0131 gerekti\u011fini anlamas\u0131 2 y\u0131l kadar s\u00fcrebilir; 18 ay \u00f6ncesinde tuvalet e\u011fitimine ba\u015flanan \u00e7ocu\u011fun kontrol\u00fc 4 ya\u015f\u0131n\u0131 bulabilirken 2 ya\u015f sonras\u0131nda 3 ya\u015fta tuvalet e\u011fitimi tamamlanabilir. \u00c7ocu\u011fun belli bir kas olgunlu\u011funa ula\u015fmas\u0131 18 ay\u0131 bulaca\u011f\u0131ndan \u00f6ncesinde \u00e7ocu\u011fa tuvalet e\u011fitimi verilemez. \u00c7\u00fcnk\u00fc \u00e7ocuk, fizyolojik ve psikolojik geli\u015fimini tamamlamad\u0131\u011f\u0131ndan idrar\u0131n\u0131 ve d\u0131\u015fk\u0131s\u0131n\u0131 tutamaz.<\/li>\n
      • Fiziksel Fakt\u00f6rler:<\/strong><\/em><\/li>\n
      • Tuvaletin yap\u0131ld\u0131\u011f\u0131 ortam\u0131n s\u0131cak ve so\u011fuk olmas\u0131, \u0131\u015f\u0131k yetersizli\u011fi, tuvaletin \u00e7ok b\u00fcy\u00fck ve y\u00fcksek olmas\u0131, korkutucu seslerin olmas\u0131, konumu veya ortama yabanc\u0131 olunmas\u0131 nedeniyle \u00e7ocu\u011fun korkmas\u0131 tuvalete gitmesi i\u00e7in sorun olabilir.<\/li>\n
      • \u00c7evresel Fakt\u00f6rler:<\/em><\/strong><\/li>\n
      • \u00c7ocuklar\u0131n etraf\u0131n\u0131 ke\u015ffetti\u011fi bu d\u00f6nemde kafalar\u0131 da\u011f\u0131n\u0131kt\u0131r bu y\u00fczden g\u00fcnl\u00fck rutinini bozan durumlar (ebeveynlerin bo\u015fanmas\u0131, ta\u015f\u0131nma, aileye yeni bir bebek gelmesi, bak\u0131c\u0131 de\u011fi\u015fikli\u011fi, hastal\u0131k, tatil, kre\u015fe ba\u015flama gibi) tuvalet e\u011fitimini etkileyen ve i\u015feme-d\u0131\u015fk\u0131lama bozukluklar\u0131na sebep olan \u00e7evresel fakt\u00f6rlerdir. Bir s\u00fcre hastanede kalma, anneden ayr\u0131lma, d\u0131\u015fk\u0131 ile ilgili \u2019\u2019pis, kirli\u2019\u2019 gibi olumsuz kelimelerin kullan\u0131lmas\u0131, \u00e7ocu\u011fun ebeveynlerin dikkatini \u00e7ekmeye \u00e7al\u0131\u015fmas\u0131, etraf\u0131nda kayg\u0131 yaratacak olaylar\u0131n olmas\u0131 ve karde\u015fleri taraf\u0131ndan k\u0131zd\u0131r\u0131lmas\u0131 da tuvalet e\u011fitimini negatif etkileyen \u00e7evresel fakt\u00f6rlerdir. Tuvalet e\u011fitimini etkileyen fakt\u00f6rler nedeniyle \u00e7ocuk tuvaletini reddederse zorlamamal\u0131, acele edilmemeli, sayg\u0131l\u0131 olunmal\u0131 ve\u00a0 k\u0131nanmamal\u0131 gerekiyorsa tuvalet e\u011fitimi birka\u00e7 hafta ertelenmelidir. Bu s\u00fcre\u00e7te \u00e7ocu\u011fun tuvalete gitmeyi reddetme nedenleri (ortam so\u011fuklu\u011fu, \u0131\u015f\u0131k yetersizli\u011fi, ebeveyn dikkatini \u00e7ekmeye \u00e7al\u0131\u015fmak gibi) ara\u015ft\u0131r\u0131l\u0131p ortadan kald\u0131r\u0131l\u0131r ve tekrar tuvalet e\u011fitimine ba\u015flan\u0131r.<\/li>\n<\/ul>\n

        Dikkat:<\/em><\/strong>\u00a0T\u00fcrkiye\u2019de yap\u0131lan bir \u00e7al\u0131\u015fmada \u00e7ocuklar\u0131n var olan i\u015feme ve d\u0131\u015fk\u0131lama yak\u0131nmalar\u0131 sorguland\u0131\u011f\u0131nda %15,3\u2019\u00fcnde kab\u0131zl\u0131k, %41,2\u2019sinde aciliyet, %20,9\u2019unda oyun s\u0131ras\u0131nda idrar tutma, %13,6\u2019s\u0131nda gece idrar ka\u00e7\u0131rma, %12,4\u2019\u00fcnde tuvalete yeti\u015femeden idrar ka\u00e7\u0131rma oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. \u00c7ocuklar\u0131n %20,2\u2019sinde hem i\u015feme hem d\u0131\u015fk\u0131lama sorunu mevcutken sadece %41\u2019inde hi\u00e7bir yak\u0131nma bulunmamaktad\u0131r.<\/p>\n

        \u0130\u015feme ve D\u0131\u015fk\u0131lama Yak\u0131nmalar\u0131na Kar\u015f\u0131 \u00d6nerilen Uygulamalar Nelerdir?<\/strong><\/h2>\n

        \u00a0 Tuvalet e\u011fitimi ve i\u015feme-d\u0131\u015fk\u0131lama problemleri s\u00fcrecinde en \u00e7ok uygulanan y\u00f6ntemlerin rehberlerce de \u00f6nerilen \u201cd\u00fczenli aral\u0131klarla tuvalete\/laz\u0131ml\u0131\u011fa g\u00f6t\u00fcrmek (%80,8)\u201d ve \u201ctuvaletin nas\u0131l yap\u0131ld\u0131\u011f\u0131n\u0131 g\u00f6stermek (%70,1)\u201d oldu\u011fu saptanm\u0131\u015ft\u0131r. \u00d6nerilmemesine ra\u011fmen \u201c\u00e7ocu\u011fa aral\u0131klarla tuvalet ihtiyac\u0131 olup olmad\u0131\u011f\u0131n\u0131n sorulmas\u0131 (%70,1) s\u0131kl\u0131kla uygulanm\u0131\u015ft\u0131r. G\u00fcn\u00fcn baz\u0131 zamanlar\u0131nda bezin \u00e7\u0131kar\u0131lmas\u0131 (%14,7), bol su i\u00e7irme (%2,3) ve cezaland\u0131rma (%1,1) y\u00f6ntemleri ise tuvalet e\u011fitimi ve i\u015feme- d\u0131\u015fk\u0131lama problemleri s\u00fcresince \u00f6nerilmemektedir ve aileler taraf\u0131ndan di\u011fer y\u00f6ntemlere g\u00f6re daha az tercih edildi\u011fi saptanm\u0131\u015ft\u0131r.<\/p>\n

        \u00a0 \u00d6zellikle i\u015feme ve d\u0131\u015fk\u0131lama yak\u0131nmalar\u0131n\u0131n en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc zaman olan, \u00e7ocuklar\u0131n tuvalet ihtiyac\u0131n\u0131 ba\u011f\u0131ms\u0131z olarak gidermeye ba\u015flad\u0131ktan sonraki ilk birka\u00e7 y\u0131l s\u00fcresince; rutin kontrollerde idrar tutma, idrar ka\u00e7\u0131rma, gece i\u015femeleri, barsak al\u0131\u015fkanl\u0131klar\u0131 hekimler taraf\u0131ndan \u00f6zellikle sorgulanmal\u0131d\u0131r.<\/p>\n

        Psikolog Hivda Ancu<\/em><\/strong><\/p>\n

        \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0KAYNAK\u00c7A<\/strong><\/p>\n

        Esra, \u00d6. (2017).\u00a0Tuvalet E\u011fitimi Tamamlanm\u0131\u015f \u00c7ocuklar\u0131n, D\u0131\u015fk\u0131-\u0130drar Kontrol\u00fc ve Tuvalet Becerisi Kazanmalar\u0131n\u0131 Etkileyen Fakt\u00f6rlerin ve Etkilerinin \u0130ncelenmesi<\/em>, Maltepe \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Enstit\u00fcs\u00fc \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Hem\u015fireli\u011fi Program\u0131 Y\u00fcksek Lisans Tezi, \u0130stanbul.<\/p>\n

        K\u00f6stek\u00e7i, Y.E. (2019).\u00a05-7 Ya\u015f Aras\u0131 Sa\u011fl\u0131kl\u0131 \u00c7ocuklar\u0131n Tuvalet E\u011fitimi S\u00fcre\u00e7leri ve S\u00fcre\u00e7 Sonras\u0131 Kar\u015f\u0131la\u015ft\u0131klar\u0131 \u0130\u015feme-D\u0131\u015fk\u0131lama Sorunlar\u0131n\u0131n De\u011ferlendirmesi Bu Sorunlar\u0131n Ya\u015fam Kalitesi \u00dczerindeki Etkilerin Ara\u015ft\u0131r\u0131lmas\u0131<\/em>. Ankara \u00dcniversitesi T\u0131p Fak\u00fcltesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 T\u0131pta Uzmanl\u0131k Tezi, Ankara.<\/p>\n

        \u00d6nc\u00fcl, N. , \u00d6zkan, \u015e. Y. (2021).\u00a0Bir Meydan Okuma: Geleneksel Tuvalet E\u011fitimine Kar\u015f\u0131 Yo\u011fun Tuvalet E\u011fitimi.<\/em>\u00a0Mersin \u00dcniversitesi E\u011fitim Fak\u00fcltesi Dergisi; 17(2): 350-374.<\/p>\n

        Deniz, \u00c7., G\u00f6rak, G.\u00a0 (2018). \u00c7ocuklarda Tuvalet E\u011fitimi ve Kullan\u0131lan Y\u00f6ntemler. Journal of Academic Research in Nursing, 4(1),59-64.\u00a0 doi.org\/10.5222\/jaren.2018.059.<\/p>\n

        Sureshkumar P, Craig JC, Roy LP, Knight JF. Daytime urinary incontinence in primary school children: a population-based survey. J Pediatr. 2000;137(6):814-818.<\/p>\n

        Schultz-Lampel D, Steuber C, Hoyer PF, Bachmann CJ, Marschall-Kehrel D, Bachmann H: Urinary incontinence in children. Dtsch Arztebl Int 2011; 108(37): 613\u201320. DOI: 10.3238\/arztebl.2011.0613.<\/p>\n<\/div>\n<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

        Tuvalet e\u011fitimi; \u00e7ocu\u011fun uyku ve uyan\u0131kl\u0131k durumunda d\u0131\u015fk\u0131 ve idrar kontrol\u00fcn\u00fc kazanmas\u0131, yard\u0131m ve an\u0131msatma olmadan tuvaletinin geldi\u011fini fark ederek, tuvalete gidip gereksinimini gidermesidir.<\/p>\n","protected":false},"author":1,"featured_media":4286,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"video","meta":{"footnotes":""},"categories":[41],"tags":[],"class_list":["post-5643","post","type-post","status-publish","format-video","has-post-thumbnail","hentry","category-egitim-programlari","post_format-post-format-video","vs-blog blog-single"],"yoast_head":"\nEyvah \u00c7ocu\u011fum Alt\u0131na Ka\u00e7\u0131r\u0131yor! - Side Kre\u015f Bursa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sidekresbursa.com.tr\/index.php\/2023\/08\/09\/eyvah-cocugum-altina-kaciriyor\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Eyvah \u00c7ocu\u011fum Alt\u0131na Ka\u00e7\u0131r\u0131yor! 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