Eski\u015fehir \u00d6zel \u00dcmit Hastanesi Uzman Psikolog Seda G\u00fcn Namal, \u2018\u00c7ocuklarda tuvalet e\u011fitimi\u2019 konusunda bilgilendirmelerde bulundu. \u00c7ocu\u011fu korkutarak tuvalet e\u011fitimi verilmesinin yanl\u0131\u015f oldu\u011funu s\u00f6yleyen Namal, \u201cKat\u0131 ve kuralc\u0131 olman\u0131n yan\u0131 s\u0131ra \u00e7ok rahat ve \u00e7ocu\u011fun ihtiyac\u0131n\u0131n ertelenmesi de yap\u0131lmamas\u0131 gereken davran\u0131\u015flardand\u0131r\u201d dedi.<\/p>\n
Namal, tuvalet e\u011fitimin 18 ay ile 36 ay aras\u0131nda verilmesinin gerekti\u011fini ifade ederek, \u201cTuvalet e\u011fitim dedi\u011fimiz s\u00fcre\u00e7 y\u00fcr\u00fcme, ko\u015fma, konu\u015fma gibi \u00e7ocu\u011fun kendi ba\u015f\u0131na yapabildi\u011fi geli\u015fim s\u00fcrecidir. Tuvalet e\u011fitimi 18 ay ile 36 ay aras\u0131nda verilmesi uygun g\u00f6rd\u00fc\u011f\u00fcm\u00fcz s\u00fcre\u00e7. Bu \u00e7ocuktan \u00e7ocu\u011fa g\u00f6re de\u011fi\u015fiklik g\u00f6stermektedir. Fiziksel geli\u015fimleri, ruhsal a\u00e7\u0131dan haz\u0131r olunu\u015flu\u011fu olmas\u0131 gerekmektedir. Ortalama bu k\u0131zlarda 29 ay civar\u0131nda erkeklerde 31\u2019inci ayda ger\u00e7ekle\u015fmi\u015f oluyor\u201d dedi. \u00c7ocuklarda tuvalet e\u011fim s\u00fcreci hakk\u0131nda bilgi veren Namal, \u201cKaba motor ya da fizyolojik s\u00fcre\u00e7te \u00e7ocu\u011fun y\u00fcr\u00fcyor olmas\u0131, t\u0131rmanabilme ve z\u0131playabilme becerilerinin olmas\u0131 bizim bekledi\u011fimiz s\u00fcre\u00e7tir. Sonras\u0131nda \u00e7ocu\u011fun mesane kaslar\u0131, idrar bo\u015faltma ve tutma gibi kaslar\u0131n\u0131n geli\u015fmi\u015f olmas\u0131 gerekiyor\u201d diye konu\u015ftu.<\/p>\n
SAYGI DUYMAK VE GER\u0130 \u00c7EK\u0130LMEK GEREK\u0130YOR<\/p>\n
\u00c7ocu\u011fun geli\u015fimine sayg\u0131l\u0131 olunmas\u0131 gerekti\u011fini s\u00f6yleyen Namal, \u201cMahremiyet e\u011fitimin geli\u015fmeye ba\u015flad\u0131\u011f\u0131 d\u00f6nemlerde \u00e7ocuklar koltuklar\u0131n\u0131n arkas\u0131nda, perdelerin arkas\u0131nda gizlenerek tuvaletlerini yaparlar. \u00c7ocuk ben tuvalet e\u011fitimi almaya haz\u0131r\u0131m demesi yan\u0131 s\u0131ra \u00e7ocuk burada gizli alan\u0131n\u0131 olu\u015fturuyor. Olabildi\u011fince g\u00f6rmezden gelip bir ad\u0131m geride durmak gerekiyor. Bu s\u00fcre\u00e7te \u00e7ocu\u011fun geli\u015fimini desteklemek ad\u0131na sayg\u0131 duymak ve geri \u00e7ekilmek gerekiyor\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u00c7OCUKLAR ANNE VE BABAYI MODEL ALIRLAR<\/p>\n
Daha sa\u011fl\u0131kl\u0131 tuvalet e\u011fitimi verilmesi a\u00e7\u0131s\u0131ndan anne ve baban\u0131n model al\u0131nmas\u0131 gerekti\u011fini s\u00f6yleyen Namal, \u201cErkek ve k\u0131z \u00e7ocuklar\u0131nda tuvalet e\u011fitiminde \u00e7ok belirgin farkl\u0131l\u0131klar yok. \u00c7ocuklara tuvalet e\u011fitim verilirken klozeti kulland\u0131rmak daha sa\u011fl\u0131kl\u0131. \u0130lerleyen d\u00f6nmelerde daha iyi bir e\u011fitim verilmesi a\u00e7\u0131s\u0131ndan model alma anlam\u0131nda k\u0131zlar anneyi, erkekler ise babay\u0131 model almas\u0131 gerekiyor\u201d dedi.<\/p>\n
\u00c7OCU\u011eU KORKUTARAK TUVALET E\u011e\u0130T\u0130M\u0130 VER\u0130LMEMEL\u0130<\/p>\n
\u00c7ocu\u011fu korkutarak tuvalet e\u011fitimi verilmesinin yanl\u0131\u015f oldu\u011funu s\u00f6yleyen Namal, \u201cA\u011f\u0131r cezalarla tuvalet e\u011fitimi \u00f6\u011fretiliyor. Bu oran T\u00fcrkiye\u2019de y\u00fczde 35-40 civar\u0131nda. Tuvalet e\u011fitiminin anahtar kelimesi \u2018sab\u0131rd\u0131r\u2019. Kat\u0131 ve kuralc\u0131 olman\u0131n yan\u0131 s\u0131ra \u00e7ok rahat ve \u00e7ocu\u011fun ihtiyac\u0131n\u0131n ertelenmesi de yap\u0131lmamas\u0131 gereken davran\u0131\u015flardand\u0131r. Bu d\u00f6nemdeki e\u011fitim \u00e7ocu\u011fun ki\u015fisel geli\u015fimini etkiliyor. Ruhsal rahats\u0131zl\u0131klar a\u00e7\u0131s\u0131ndan m\u00fckemmeliyet\u00e7i, titiz olan ki\u015filerin altyap\u0131s\u0131 bu d\u00f6nemde at\u0131l\u0131yor. O y\u00fczden olabildi\u011fince sayg\u0131 g\u00f6sterilerek, ho\u015fg\u00f6r\u00fcl\u00fc \u015fekilde \u00e7ocu\u011fa yakla\u015f\u0131lmal\u0131\u201d dedi.<\/p>\n
BU S\u00dcRE\u00c7TE ANNE \u0130Z\u0130N ALMALI<\/p>\n
Bak\u0131c\u0131yla b\u00fcy\u00fcyen \u00e7ocuklarda tuvalet e\u011fitimi s\u00fcrecinde annenin izin almas\u0131 gerekti\u011fini s\u00f6yleyen Namal, \u201c\u00c7al\u0131\u015fan anne bu s\u00fcre\u00e7te bir s\u00fcre izin alarak \u00e7ocu\u011funun yan\u0131nda olmas\u0131 \u00f6nemli. \u00c7ocu\u011fun verdi\u011fi ipu\u00e7lar\u0131na ba\u011fl\u0131 olarak i\u015ften ayr\u0131larak yap\u0131labilir. Ancak bu m\u00fcmk\u00fcn de\u011filse \u00e7ocu\u011fa bak\u0131c\u0131 ya da annene ya da babaanne bak\u0131yorsa \u00e7ocu\u011fun hem mahremiyet geli\u015fimi a\u00e7\u0131s\u0131ndan hem de tuvalet e\u011fitimi a\u00e7\u0131s\u0131ndan bunlar\u0131 s\u0131n\u0131rland\u0131rmak gerekiyor” dedi.<\/p>\n
\u00d6D\u00dcL N\u0130TEL\u0130\u011e\u0130NDE OLMADAN MOT\u0130VE ED\u0130LMEL\u0130<\/p>\n
Ailelere ipu\u00e7lar\u0131nda bulunan Namal \u015funlar\u0131 s\u00f6yledi:<\/p>\n
\u201cBu s\u00fcre\u00e7te \u00e7ocukla beraber al\u0131\u015fveri\u015fe \u00e7\u0131k\u0131lmal\u0131. \u00d6zellikle al\u0131nan i\u00e7 \u00e7ama\u015f\u0131rlar\u0131nda \u00e7ocuklar\u0131n sevdi\u011fi karakterler olmal\u0131. Tuvalette vakit ge\u00e7irebilece\u011fi etkinlikler yap\u0131labilir. Kitaplar\u0131n oldu\u011fu baz\u0131 b\u00f6lgeler bulundurulabilir. \u00d6d\u00fcl niteli\u011finde olmadan \u00e7ocu\u011fu motive edici, takdir eden davran\u0131\u015flar\u0131 g\u00f6sterebilmesi a\u00e7\u0131s\u0131ndan etiketler kullanabilirler\u201d dedi. \u00c7ocu\u011fu bezden ay\u0131rd\u0131ktan sonra \u00e7ocu\u011fun alt\u0131n\u0131n hi\u00e7 ba\u011flanmamas\u0131 gerekti\u011fini s\u00f6yleye Namal, \u201c\u00c7ocu\u011fu bezden ay\u0131rd\u0131ysak geri d\u00f6n\u00fc\u015f kesinlikle yapm\u0131yoruz. \u00c7\u00fcnk\u00fc \u00e7ocuk bunu i\u00e7sel olarak ba\u015far\u0131s\u0131zl\u0131k olarak nitelendiriyor. Yetersiz olarak nitelendiriyor. Dolay\u0131s\u0131yla bu da bizim \u00e7ocu\u011fu kontrol etmemiz demek.\u201d<\/p>\n
PROBLEM VAR DEMEKT\u0130R<\/p>\n
\u201cB\u00fcy\u00fck tuvaleti 4 ya\u015f\u0131na kadar idrar ka\u00e7\u0131rmay\u0131 5 ya\u015f\u0131ndan sonra patolojik olarak bir s\u0131k\u0131nt\u0131 var olarak nitelendiriyoruz\u201d diyen Namal, \u201cBizim tamamlanmas\u0131n\u0131 istedi\u011fimiz s\u00fcre\u00e7 ortalama 3 ya\u015ft\u0131r. 3 ya\u015f kre\u015fe ba\u015flama ya\u015f\u0131d\u0131r ve dolay\u0131s\u0131yla \u00e7ocu\u011fun bezli haliyle kre\u015fe gitmesi, kendini farkl\u0131 hissetmesi, soyutlamas\u0131 ve utan\u00e7 duymas\u0131 anlam\u0131na gelir. 3 ya\u015f\u0131na kadar tamamlamas\u0131 gerekir. 4 ya da 5 ya\u015f\u0131na kadar devam ediyorsa problem var demek de\u011fildir\u201d dedi.<\/p>\n
GENET\u0130K FAKT\u00d6RLER OLAB\u0130L\u0130R<\/p>\n
\u00c7ocuklar\u0131n bezden zor ayr\u0131lmas\u0131n\u0131n sebeplerinden bahseden Namal, \u201cGenetik fakt\u00f6rler olabilir. Anne ve baban\u0131n k\u00fc\u00e7\u00fck ya\u015flarda uzun vadede idrar ka\u00e7\u0131rma gibi baz\u0131 durumlar\u0131 olduysa \u00e7ocukta g\u00f6r\u00fclme oran\u0131 \u00e7ok y\u00fcksek. Bu s\u00fcre\u00e7te baz\u0131 fizyolojik olaylar da devreye giriyor. \u00c7ocu\u011fun mesane kaslar\u0131 geli\u015fmemi\u015f olabilir. Dolay\u0131s\u0131yla idrar torbas\u0131 doldu\u011fu zaman beyne sinyal gitmiyor olabilir. Di\u011fer d\u00f6ng\u00fcsel durum ise mesanenin kontrol edilemez durumdayken sonu\u00e7lar psikolojik olabilir\u201d dedi. Namal psikolojik olarak haz\u0131rl\u0131k s\u00fcrecinden bahsederek, \u201c\u00c7ocuk bir bu\u00e7uk ya\u015f\u0131na kadar oral d\u00f6nemden, emzirme s\u00fcrecinden ge\u00e7iyor. G\u00fcvenli ayr\u0131lma ya\u015fad\u0131\u011f\u0131 bu d\u00f6nemde \u00e7ocuk anneden bir ayr\u0131\u015fma ya\u015f\u0131yor. G\u00fcvenli \u015fekilde ayr\u0131labilmesi i\u00e7in bu d\u00f6nemi iyi bir \u015fekilde atlatmas\u0131 gerekiyor. \u00c7ocuk kendinden emin \u015fekilde \u00e7evreyi ke\u015ffe \u00e7\u0131kabiliyor. Her geli\u015fim d\u00f6nemini sa\u011fl\u0131kl\u0131 atlat\u0131labilmesi bir sonraki d\u00f6nem i\u00e7in haz\u0131rl\u0131k\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
ESK\u0130\u015eEH\u0130R \u00d6ZEL \u00dcM\u0130T HASTANES\u0130 UZMAN PS\u0130KOLOG SEDA G\u00dcN NAMAL, \u2018\u00c7OCUKLARDA TUVALET E\u011e\u0130T\u0130M\u0130\u2019 KONUSUNDA B\u0130LG\u0130LEND\u0130RMELERDE BULUNDU.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[14404,19067,12909,15957,4997],"class_list":["post-1370095","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-nasil","tag-cocuklarda","tag-egitimi","tag-olmali","tag-tuvalet"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1370095","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1370095"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1370095\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1370095"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1370095"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1370095"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}