. . "K\u0159\u00ED\u017E, Jan" . "CZ - \u010Cesk\u00E1 republika" . "I, Z(MZ0FNM2005)" . "Diagnostika a terapie neurogenn\u00EDho m\u011Bch\u00FD\u0159e u d\u011Bt\u00ED" . "http://www.prolekare.cz/cesko-slovenska-pediatrie-clanek/diagnostika-a-terapie-neurogenniho-mechyre-u-deti-40114" . . "Diagnostics and therapy of neurogenic bladder in children"@en . . . . "Diagnostika a terapie neurogenn\u00EDho m\u011Bch\u00FD\u0159e u d\u011Bt\u00ED"@cs . . . . "2"^^ . . "Neurogenic bladder in children is a serious dysfunction of lower urinary tract originating due to inborn or acquired disease of spinal cord and spinal nerves. It is a part of multiple defects and belongs to chronic pathological conditions, which is difficult to solve. The chief aim in the care of children with neurogenic bladder is to prevent infections and deterioration of the function of upper urinary tract as well as to reach urinary and fecal continence at the older age. In order to reach these goals, repeated examinations are required as well as lifelong follow-up and correctly timed therapy. The basic examinations include, besides ultrasound, urodynamic studies and a clean intermittent catheterization of urinary bladder is the basic therapeutic procedure, if need be supplemented administration of anticholinergics. The recent knowledge of pediatricians and children urologists recommends the first urodynamic examination of patients with inborn defect, which is responsible for development of neurogenic bladder, as early as at the suckling age. The training of the clean intermittent catheterization is recommended differently, from the newborn to preschool age, but there is a general tendency to start with the catheterization much earlier than the practice was in the seventies to nineties. The early introduction of intermittent catheterization makes it an obvious constituent of everyday routine and it also significantly decreases the need of bladder augmentation at the older age. Even so a small part of patients which are refractory to conservative treatment the surgery becomes necessary. In most cases in is the augmentation urinary bladder, so called formation of low-pressure and large capacity urinary reservoir or a surgery resulting in improvement of incontinence. Some interventions, for instance the establishment of continent vesicostomy, may be indicated even to meet the patient\u2019s wishes."@en . "130980" . "2"^^ . "[3660C108A011]" . "67" . "8"^^ . "RIV/00064203:_____/12:8896" . . "Diagnostika a terapie neurogenn\u00EDho m\u011Bch\u00FD\u0159e u d\u011Bt\u00ED" . . . "Neurogenn\u00ED m\u011Bch\u00FD\u0159 u d\u011Bt\u00ED je z\u00E1va\u017En\u00E1 dysfunkce doln\u00EDch mo\u010Dov\u00FDch cest, kter\u00E1 vznik\u00E1 v d\u016Fsledku vrozen\u00E9ho nebo z\u00EDskan\u00E9ho onemocn\u011Bn\u00ED m\u00EDchy a m\u00ED\u0161n\u00EDch nerv\u016F. Je sou\u010D\u00E1st\u00ED v\u00EDce\u010Detn\u00E9ho posti\u017Een\u00ED a pat\u0159\u00ED mezi chronick\u00E9, obt\u00ED\u017En\u011B \u0159e\u0161iteln\u00E9 patologick\u00E9 stavy. Hlavn\u00EDm c\u00EDlem p\u00E9\u010De o d\u011Bti s neurogenn\u00EDm m\u011Bch\u00FD\u0159em je jednak zabr\u00E1nit infekc\u00EDm a deterioraci funkce horn\u00EDch cest mo\u010Dov\u00FDch a jednak dosa\u017Een\u00ED kontinence mo\u010Di a stolice v pozd\u011Bj\u0161\u00EDm v\u011Bku. K dosa\u017Een\u00ED t\u011Bchto c\u00EDl\u016F je nutn\u00E9 opakovan\u00E9 vy\u0161et\u0159ov\u00E1n\u00ED, celo\u017Eivotn\u00ED sledov\u00E1n\u00ED a spr\u00E1vn\u011B na\u010Dasovan\u00E1 terapie. Z\u00E1kladn\u00EDm vy\u0161et\u0159en\u00EDm je vedle ultrazvuku urodynamick\u00E1 studie a z\u00E1kladn\u00EDm terapeutick\u00FDm postupem \u010Dist\u00E1 intermitentn\u00ED katetrizace mo\u010Dov\u00E9ho m\u011Bch\u00FD\u0159e, event. dopln\u011Bn\u00E1 pod\u00E1v\u00E1n\u00EDm anticholinergik. Podle posledn\u00EDch poznatk\u016F pediatr\u016F a d\u011Btsk\u00FDch urolog\u016F se doporu\u010Duje prvn\u00ED urodynamick\u00E9 vy\u0161et\u0159en\u00ED pacient\u016F s vrozenou vadou, kter\u00E1 vede ke vzniku neurogenn\u00EDho m\u011Bch\u00FD\u0159e, ji\u017E v kojeneck\u00E9m v\u011Bku. N\u00E1cvik \u010Dist\u00E9 intermitentn\u00ED katetrizace je doporu\u010Dov\u00E1n r\u016Fzn\u011B od novorozeneck\u00E9ho do p\u0159ed\u0161koln\u00EDho v\u011Bku, obecn\u011B je ov\u0161em trend za\u010D\u00EDt s katetrizac\u00ED mnohem d\u0159\u00EDve, ne\u017E bylo v sedmdes\u00E1t\u00FDch a\u017E devades\u00E1t\u00FDch letech zvykem. \u010Casn\u00E9 zaveden\u00ED intermitentn\u00ED katetrizace z n\u00ED jednak \u010Din\u00ED samoz\u0159ejmou sou\u010D\u00E1st ka\u017Edodenn\u00ED rutiny a jednak v\u00FDrazn\u011B sni\u017Euje nutnost augmentace m\u011Bch\u00FD\u0159e v pozd\u011Bj\u0161\u00EDm v\u011Bku. I tak je ov\u0161em u mal\u00E9 \u010D\u00E1sti pacient\u016F refraktern\u00EDch na konzervativn\u00ED l\u00E9\u010Dbu nutn\u00E1 operace. Nej\u010Dast\u011Bji jde o augmentaci mo\u010Dov\u00E9ho m\u011Bch\u00FD\u0159e, tzn. vytvo\u0159en\u00ED n\u00EDzkotlak\u00E9ho a velkokapacitn\u00EDho rezervo\u00E1ru mo\u010Di, a nebo o operace vedouc\u00ED ke zlep\u0161en\u00ED inkontinence. N\u011Bkter\u00E9 v\u00FDkony, nap\u0159\u00EDklad zalo\u017Een\u00ED kontinentn\u00ED vezikostomie, je mo\u017En\u00E9 indikovat i na p\u0159\u00E1n\u00ED pacienta." . "0069-2328" . . . . "Diagnostika a terapie neurogenn\u00EDho m\u011Bch\u00FD\u0159e u d\u011Bt\u00ED"@cs . "Neurogenn\u00ED m\u011Bch\u00FD\u0159 u d\u011Bt\u00ED je z\u00E1va\u017En\u00E1 dysfunkce doln\u00EDch mo\u010Dov\u00FDch cest, kter\u00E1 vznik\u00E1 v d\u016Fsledku vrozen\u00E9ho nebo z\u00EDskan\u00E9ho onemocn\u011Bn\u00ED m\u00EDchy a m\u00ED\u0161n\u00EDch nerv\u016F. Je sou\u010D\u00E1st\u00ED v\u00EDce\u010Detn\u00E9ho posti\u017Een\u00ED a pat\u0159\u00ED mezi chronick\u00E9, obt\u00ED\u017En\u011B \u0159e\u0161iteln\u00E9 patologick\u00E9 stavy. Hlavn\u00EDm c\u00EDlem p\u00E9\u010De o d\u011Bti s neurogenn\u00EDm m\u011Bch\u00FD\u0159em je jednak zabr\u00E1nit infekc\u00EDm a deterioraci funkce horn\u00EDch cest mo\u010Dov\u00FDch a jednak dosa\u017Een\u00ED kontinence mo\u010Di a stolice v pozd\u011Bj\u0161\u00EDm v\u011Bku. K dosa\u017Een\u00ED t\u011Bchto c\u00EDl\u016F je nutn\u00E9 opakovan\u00E9 vy\u0161et\u0159ov\u00E1n\u00ED, celo\u017Eivotn\u00ED sledov\u00E1n\u00ED a spr\u00E1vn\u011B na\u010Dasovan\u00E1 terapie. Z\u00E1kladn\u00EDm vy\u0161et\u0159en\u00EDm je vedle ultrazvuku urodynamick\u00E1 studie a z\u00E1kladn\u00EDm terapeutick\u00FDm postupem \u010Dist\u00E1 intermitentn\u00ED katetrizace mo\u010Dov\u00E9ho m\u011Bch\u00FD\u0159e, event. dopln\u011Bn\u00E1 pod\u00E1v\u00E1n\u00EDm anticholinergik. Podle posledn\u00EDch poznatk\u016F pediatr\u016F a d\u011Btsk\u00FDch urolog\u016F se doporu\u010Duje prvn\u00ED urodynamick\u00E9 vy\u0161et\u0159en\u00ED pacient\u016F s vrozenou vadou, kter\u00E1 vede ke vzniku neurogenn\u00EDho m\u011Bch\u00FD\u0159e, ji\u017E v kojeneck\u00E9m v\u011Bku. N\u00E1cvik \u010Dist\u00E9 intermitentn\u00ED katetrizace je doporu\u010Dov\u00E1n r\u016Fzn\u011B od novorozeneck\u00E9ho do p\u0159ed\u0161koln\u00EDho v\u011Bku, obecn\u011B je ov\u0161em trend za\u010D\u00EDt s katetrizac\u00ED mnohem d\u0159\u00EDve, ne\u017E bylo v sedmdes\u00E1t\u00FDch a\u017E devades\u00E1t\u00FDch letech zvykem. \u010Casn\u00E9 zaveden\u00ED intermitentn\u00ED katetrizace z n\u00ED jednak \u010Din\u00ED samoz\u0159ejmou sou\u010D\u00E1st ka\u017Edodenn\u00ED rutiny a jednak v\u00FDrazn\u011B sni\u017Euje nutnost augmentace m\u011Bch\u00FD\u0159e v pozd\u011Bj\u0161\u00EDm v\u011Bku. I tak je ov\u0161em u mal\u00E9 \u010D\u00E1sti pacient\u016F refraktern\u00EDch na konzervativn\u00ED l\u00E9\u010Dbu nutn\u00E1 operace. Nej\u010Dast\u011Bji jde o augmentaci mo\u010Dov\u00E9ho m\u011Bch\u00FD\u0159e, tzn. vytvo\u0159en\u00ED n\u00EDzkotlak\u00E9ho a velkokapacitn\u00EDho rezervo\u00E1ru mo\u010Di, a nebo o operace vedouc\u00ED ke zlep\u0161en\u00ED inkontinence. N\u011Bkter\u00E9 v\u00FDkony, nap\u0159\u00EDklad zalo\u017Een\u00ED kontinentn\u00ED vezikostomie, je mo\u017En\u00E9 indikovat i na p\u0159\u00E1n\u00ED pacienta."@cs . "RIV/00064203:_____/12:8896!RIV13-MZ0-00064203" . "neurogenic bladder; urodynamic examination; clean intermittent catheterization; oxybutynin; bladder augmentation; incontinence; continent vesicotomy"@en . "6" . . . . "Diagnostics and therapy of neurogenic bladder in children"@en . . "\u010Cesko-slovensk\u00E1 pediatrie" . "Trachta, Jan" . . .