{"id":1380,"date":"2026-04-09T13:52:34","date_gmt":"2026-04-09T13:52:34","guid":{"rendered":"https:\/\/darkcyan-pheasant-754087.hostingersite.com\/?page_id=1380"},"modified":"2026-04-12T15:52:33","modified_gmt":"2026-04-12T15:52:33","slug":"lapsen-kastelu","status":"publish","type":"page","link":"https:\/\/lastenkirurgia.fi\/en\/lapsen-kastelu\/","title":{"rendered":"Wetting a child"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1380\" class=\"elementor elementor-1380\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a69728 e-flex e-con-boxed e-con e-parent\" data-id=\"0a69728\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a998f74 elementor-widget elementor-widget-text-editor\" data-id=\"a998f74\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 data-path-to-node=\"2\">Kastelu lapsella \u2013 Ohjeita kotiin ja hoitoon<\/h2><p data-path-to-node=\"3\">Lapsen virtsarakon hallinta on monimutkainen taito, joka kypsyy yksil\u00f6llisesti yleens\u00e4 <b data-path-to-node=\"3\" data-index-in-node=\"87\">4\u20136 vuoden ik\u00e4\u00e4n<\/b> menness\u00e4. Kastelu ainoana oireena on hyvin harvoin merkki sairaudesta, mutta se voi kuormittaa lapsen itsetuntoa ja perheen arkea.<\/p><h3 data-path-to-node=\"4\">1. Y\u00f6kastelu<\/h3><p data-path-to-node=\"5\">Y\u00f6kastelu johtuu usein sike\u00e4st\u00e4 unesta (lapsi ei her\u00e4\u00e4 t\u00e4yden rakon tunteeseen) tai y\u00f6llisen virtsanerityksen s\u00e4\u00e4telyn keskener\u00e4isyydest\u00e4. Taipumus on usein periytyv\u00e4\u00e4.<\/p><p data-path-to-node=\"6\"><b data-path-to-node=\"6\" data-index-in-node=\"0\">Itsehoito kotona:<\/b><\/p><ul data-path-to-node=\"7\"><li><p data-path-to-node=\"7,0,0\"><b data-path-to-node=\"7,0,0\" data-index-in-node=\"0\">Iltajuominen:<\/b> Rajoita juomista noin 2 tuntia ennen nukkumaanmenoa. Iltapala kannattaa sy\u00f6d\u00e4 samoihin aikoihin.<\/p><\/li><li><p data-path-to-node=\"7,1,0\"><b data-path-to-node=\"7,1,0\" data-index-in-node=\"0\">WC-rutiini:<\/b> K\u00e4yk\u00e4\u00e4 virtsalla juuri ennen s\u00e4nkyyn menoa.<\/p><\/li><li><p data-path-to-node=\"7,2,0\"><b data-path-to-node=\"7,2,0\" data-index-in-node=\"0\">Y\u00f6vaippa:<\/b> Vaipan k\u00e4ytt\u00f6 on sallittua, eik\u00e4 se hidasta kuivaksi oppimista. Se voi parantaa kaikkien unen laatua ja v\u00e4hent\u00e4\u00e4 pyykki\u00e4.<\/p><\/li><li><p data-path-to-node=\"7,3,0\"><b data-path-to-node=\"7,3,0\" data-index-in-node=\"0\">Asenne:<\/b> \u00c4l\u00e4 syyllist\u00e4 tai rankaise. Kehu onnistumisista (kuivista \u00f6ist\u00e4).<\/p><\/li><\/ul><p data-path-to-node=\"8\"><b data-path-to-node=\"8\" data-index-in-node=\"0\">Milloin hoitoon?<\/b> Jos yli 6-vuotias kastelee jatkuvasti ja kokee siit\u00e4 itse haittaa, ota asia puheeksi l\u00e4\u00e4k\u00e4rin kanssa.<\/p><ul data-path-to-node=\"9\"><li><p data-path-to-node=\"9,0,0\"><b data-path-to-node=\"9,0,0\" data-index-in-node=\"0\">Kasteluh\u00e4lytin:<\/b> Tehokas keino (n. 70 % hy\u00f6tyy), joka opettaa aivot her\u00e4\u00e4m\u00e4\u00e4n rakon t\u00e4yttyess\u00e4. Vaatii perheelt\u00e4 sitoutumista kuukausiksi.<\/p><\/li><li><p data-path-to-node=\"9,1,0\"><b data-path-to-node=\"9,1,0\" data-index-in-node=\"0\">L\u00e4\u00e4kehoito (Desmopressiini):<\/b> V\u00e4hent\u00e4\u00e4 y\u00f6llist\u00e4 virtsam\u00e4\u00e4r\u00e4\u00e4. Auttaa monia pysym\u00e4\u00e4n kuivana esim. y\u00f6kyl\u00e4ilyjen aikana.<\/p><\/li><\/ul><hr data-path-to-node=\"10\" \/><h3 data-path-to-node=\"11\">2. P\u00e4iv\u00e4kastelu<\/h3><p data-path-to-node=\"12\">P\u00e4iv\u00e4kastelu johtuu usein siit\u00e4, ett\u00e4 leikin tiimellyksess\u00e4 pissah\u00e4t\u00e4 unohtuu tai sit\u00e4 yritet\u00e4\u00e4n pid\u00e4tell\u00e4 liian pitk\u00e4\u00e4n.<\/p><p data-path-to-node=\"13\"><b data-path-to-node=\"13\" data-index-in-node=\"0\">Itsehoito ja harjoittelu:<\/b><\/p><ul data-path-to-node=\"14\"><li><p data-path-to-node=\"14,0,0\"><b data-path-to-node=\"14,0,0\" data-index-in-node=\"0\">S\u00e4\u00e4nn\u00f6llinen pissarytmi:<\/b> K\u00e4ytt\u00e4k\u00e4\u00e4 &#8221;kelloa apuna&#8221;. Sopiva virtsaamisv\u00e4li on noin <b data-path-to-node=\"14,0,0\" data-index-in-node=\"81\">2 tuntia<\/b>. Yli 4 tunnin v\u00e4lej\u00e4 tulee v\u00e4ltt\u00e4\u00e4.<\/p><\/li><li><p data-path-to-node=\"14,1,0\"><b data-path-to-node=\"14,1,0\" data-index-in-node=\"0\">Rauhallinen WC-k\u00e4ynti:<\/b> Vessassa ei saa hosua. Rakko pit\u00e4\u00e4 tyhjent\u00e4\u00e4 kunnolla, tarvittaessa kokeillaan pissaamista uudelleen pienen tauon j\u00e4lkeen.<\/p><\/li><li><p data-path-to-node=\"14,2,0\"><b data-path-to-node=\"14,2,0\" data-index-in-node=\"0\">Hygiene:<\/b> Pese alap\u00e4\u00e4n iho p\u00e4ivitt\u00e4in pelk\u00e4ll\u00e4 vedell\u00e4. \u00c4rsytys tai hautuminen voi lis\u00e4t\u00e4 pissah\u00e4t\u00e4\u00e4.<\/p><\/li><li><p data-path-to-node=\"14,3,0\"><b data-path-to-node=\"14,3,0\" data-index-in-node=\"0\">V\u00e4lt\u00e4 \u00e4rsykkeit\u00e4:<\/b> Runsaasti sokeria sis\u00e4lt\u00e4v\u00e4t virvoitusjuomat tai kofeiini voivat \u00e4rsytt\u00e4\u00e4 rakkoa.<\/p><\/li><li>Joskus voidaan kokeilla oxybutyniini-l\u00e4\u00e4kityst\u00e4<\/li><\/ul><hr data-path-to-node=\"15\" \/><h3 data-path-to-node=\"16\">3. Huomioi ummetus!<\/h3><p data-path-to-node=\"17\">Ummetus on yleinen syy sek\u00e4 y\u00f6- ett\u00e4 p\u00e4iv\u00e4kasteluun. T\u00e4ysi suoli painaa virtsarakkoa ja h\u00e4iritsee sen toimintaa. <b data-path-to-node=\"17\" data-index-in-node=\"113\">Varmista, ett\u00e4 lapsen vatsa toimii pehme\u00e4sti ja p\u00e4ivitt\u00e4in.<\/b><\/p><hr data-path-to-node=\"18\" \/><h3 data-path-to-node=\"19\">Milloin l\u00e4\u00e4k\u00e4riin viipym\u00e4tt\u00e4?<\/h3><p data-path-to-node=\"20\">Hakeudu l\u00e4\u00e4k\u00e4riin, jos kasteluun liittyy jokin seuraavista:<\/p><ol start=\"1\" data-path-to-node=\"21\"><li><p data-path-to-node=\"21,0,0\">Kastelu alkaa uudelleen pitk\u00e4n kuivan kauden j\u00e4lkeen ja siihen liittyy <b data-path-to-node=\"21,0,0\" data-index-in-node=\"71\">runsasta janoa, laihtumista tai kovaa v\u00e4symyst\u00e4<\/b>.<\/p><\/li><li><p data-path-to-node=\"21,1,0\">Virtsaaminen on <b data-path-to-node=\"21,1,0\" data-index-in-node=\"16\">kivuliasta<\/b> tai virtsa on poikkeavan hajuista\/v\u00e4rist\u00e4.<\/p><\/li><li><p data-path-to-node=\"21,2,0\">Lapsella on jatkuvaa ulosteen karkailua tai vaikea ummetus.<\/p><\/li><\/ol><p>Terveyskirjasto-artikkeli<\/p><p><a href=\"https:\/\/www.terveyskirjasto.fi\/dlk00134\" target=\"_blank\" rel=\"noopener\">https:\/\/www.terveyskirjasto.fi\/dlk00134<\/a><\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Kastelu lapsella \u2013 Ohjeita kotiin ja hoitoon Lapsen virtsarakon hallinta on monimutkainen taito, joka kypsyy yksil\u00f6llisesti yleens\u00e4 4\u20136 vuoden ik\u00e4\u00e4n menness\u00e4. Kastelu ainoana oireena on hyvin harvoin merkki sairaudesta, mutta se voi kuormittaa lapsen itsetuntoa ja perheen arkea. 1. Y\u00f6kastelu Y\u00f6kastelu johtuu usein sike\u00e4st\u00e4 unesta (lapsi ei her\u00e4\u00e4 t\u00e4yden rakon tunteeseen) tai y\u00f6llisen virtsanerityksen s\u00e4\u00e4telyn [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_angie_page":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1380","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/pages\/1380","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/comments?post=1380"}],"version-history":[{"count":4,"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/pages\/1380\/revisions"}],"predecessor-version":[{"id":1658,"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/pages\/1380\/revisions\/1658"}],"wp:attachment":[{"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/media?parent=1380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}