Abstract
İşeme fizyolojisi çocukluk yaş grubunda büyüme ile birlikte değişiklikler sergilemektedir. Mesane üzerindeki reseptörler ve bunların dağılımı ile isteğe bağımlı çalışan otonomik bir organdır. İstemli işeme kontrolü, santral sinir sisteminin işemeyi istemli olarak başlatması ve sonlandırmasının dominant hale gelmesi ile sağlanır. Yaşamın ilk yıllarında detrüsör kası daha reaktiftir ve mesane sfinkter dissinerjisi bulunabilir. İşeme bozuklukları mesane ve üretradan oluşan alt üriner sistem disfonksiyonu sonucu ortaya çıkar. Alt üriner sistem disfonksiyonunun nedenleri anatomik, nörolojik ve fonksiyonel işeme bozuklukları olarak sınıflanabilir ve bunlar öykü ve fizik muayene bulguları ile ayırt edilebilir. Alt üriner sistem disfonksiyonu olan olgularda idrar yolu enfeksiyonu ve vezikoüreteral reflü açısından dikkatli olunmalıdır. Sıvı alımının düzenlenmesi, gün içinde yeterli sıklıkta ve zamanda işemenin sağlanması, kabızlığın giderilmesi, hijyen koşullarının öğretilmesi ilk planda yapılabileceklerdir.
Keywords
References
- Ballek NK, McKenna PH. Lower urinary tract dysfunction in childhood. Urol Clin N Am 2010;7: 215–28.
- Feldman AS, Bauer SB. Diagnosis and management of dysfunctional voiding. Current Opinion in Pediatrics 2006;18: 139–47.
- de Jong TP, Klijn AJ. Urodynamic studies in pediatric urology. Nat Rev Urol 2009;6:585-94.
- Glassberg KI, Combs AJ. Nonneurogenic voiding disorders: What’s new? Review Curr Opin Urol 2009;19:412-8.
- Örs AE, Dayanç M, Irkılata HC, Kibar Y, Başal Ş, Zor M. Disfonksiyonel işeme tanılı çocuklarda üroterapi ve biofeedback tedavisi. Turkiye Klinikleri J Med Sci 2009;29:1710-5.
Abstract
The physiology of micturition demonstrates some changes in childhood with growth. The bladder is an autonomic organ that is controlled voluntarily via its receptors and their localizations. Voluntary control of micturition occurs when the act of central nervous system to consciously initiate and finish voiding becomes dominant. During the first years of life, the detrusor muscle is more reactive and bladder sphincter dys-synergia may be present. Dysfunction of micturition may appear as a result of dysfunction in the lower urinary tract consisting of the bladder and urethra. The causes of lower urinary tract dysfunction can be classified as anatomical, neurological, and functional voiding disorders and these causes can be differentiated using the medical history and physical examination of the patient. It is very important to be careful for urinary tract infection and vesicoureteral reflux in cases with lower urinary tract dysfunction. First-line therapy includes regulating fluid intake, providing timely voiding in adequate frequency, overcoming constipation, and hygiene training
Keywords
References
- Ballek NK, McKenna PH. Lower urinary tract dysfunction in childhood. Urol Clin N Am 2010;7: 215–28.
- Feldman AS, Bauer SB. Diagnosis and management of dysfunctional voiding. Current Opinion in Pediatrics 2006;18: 139–47.
- de Jong TP, Klijn AJ. Urodynamic studies in pediatric urology. Nat Rev Urol 2009;6:585-94.
- Glassberg KI, Combs AJ. Nonneurogenic voiding disorders: What’s new? Review Curr Opin Urol 2009;19:412-8.
- Örs AE, Dayanç M, Irkılata HC, Kibar Y, Başal Ş, Zor M. Disfonksiyonel işeme tanılı çocuklarda üroterapi ve biofeedback tedavisi. Turkiye Klinikleri J Med Sci 2009;29:1710-5.
Details
| Other ID | JA33NJ58AS |
|---|---|
| Journal Section | Collection |
| Authors | |
| Publication Date | April 1, 2013 |
| Submission Date | April 1, 2013 |
| Published in Issue | Year 2013 Volume: 7 Issue: 1 |
Cite
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.