"RIV/00216208:11120/12:43906931" . "5. Typy bolesti a jejich l\u00E9\u010Dba: D\u011Btsk\u00E1 bolest" . "5. Typy bolesti a jejich l\u00E9\u010Dba: D\u011Btsk\u00E1 bolest"@cs . . "5. Typy bolesti a jejich l\u00E9\u010Dba: D\u011Btsk\u00E1 bolest" . . "RIV/00216208:11120/12:43906931!RIV13-MSM-11120___" . . . "978-80-87323-02-1" . "V rozsahu kapitoly je zm\u00EDn\u011Bn z\u00E1kladn\u00ED pohled na bolest v obdob\u00ED d\u011Btstv\u00ED, mo\u017Enosti jej\u00ED identifikace, nefarmakologick\u00E9 a farmakologick\u00E9 l\u00E9\u010Dby a prevence. Ve speci\u00E1ln\u00ED \u010D\u00E1sti je v\u011Bnov\u00E1na pozornost problematice opakovan\u00FDch bolest\u00ED b\u0159icha, hlavy (prim\u00E1rn\u00ED, sekund\u00E1rn\u00ED) a pohybov\u00E9ho apar\u00E1tu (bolest mechanick\u00E9ho, z\u00E1n\u011Btliv\u00E9ho charakteru), novorozeneck\u00E9 bolesti a poopera\u010Dn\u00ED analgezii. Neurobiologick\u00FD v\u00FDzkum shrom\u00E1\u017Edil v posledn\u00EDch desetilet\u00EDch nov\u00E9 poznatky o v\u00FDvoji nervov\u00E9ho syst\u00E9mu a patofyziologii bolesti. P\u0159\u00EDslu\u0161n\u00E9 anatomick\u00E9 struktury a jejich funkce, odpov\u00EDdaj\u00EDc\u00ED za p\u0159enos a modulov\u00E1n\u00ED bolesti jsou p\u0159\u00EDtomny ji\u017E u f\u00E9tu ve 26. t\u00FDdnu gesta\u010Dn\u00EDho v\u011Bku. C\u00EDlem v\u010Dasn\u00E9ho rozpozn\u00E1n\u00ED a l\u00E9\u010Dby d\u011Btsk\u00E9 bolesti je prevence jej\u00EDch dlouhodob\u00FDch d\u016Fsledk\u016F (hor\u0161\u00ED tolerance a vy\u0161\u0161\u00ED senzitivita k bolesti, sklon k \u00FAzkostnosti, hyperaktivita, zm\u011Bny temperamentu, \u00FArovn\u011B \u0159e\u010Di, pam\u011Bti). Vzhledem k interindividu\u00E1ln\u00ED variabilit\u011B vn\u00EDm\u00E1n\u00ED bolesti vy\u017Eaduje (pain assessment) m\u011B\u0159en\u00ED kvality, intenzity a lokalizace bolesti pou\u017Eit\u00ED pom\u016Fcek a stupnic (scales) hodnocen\u00ED person\u00E1lem \u010Di pacientem samotn\u00FDm. Kategorie bolesti (akutn\u00ED, chronick\u00E1 /rekurentn\u00ED) se vz\u00E1jemn\u011B li\u0161\u00ED dobou trv\u00E1n\u00ED, obvyklou reaktivitou pacienta a preventivn\u00EDm \u010Di l\u00E9\u010Debn\u00FDm p\u0159\u00EDstupem. Chronick\u00E1/rekurentn\u00ED bolest postihuje a\u017E 15-20% d\u011Bt\u00ED a dosp\u00EDvaj\u00EDc\u00EDch (nej\u010Dast\u011Bji bolest hlavy, b\u0159icha, pohybov\u00E9ho apar\u00E1tu). U \u010D\u00E1sti pacient\u016F jde o sign\u00E1l stresu, manifestuj\u00EDc\u00ED se klinicky somatick\u00FDmi a emo\u010Dn\u00EDmi projevy (poruchy fyziologick\u00FDch funkc\u00ED, funkce imunitn\u00EDho syst\u00E9mu, neuroendokrinn\u00ED osy, disharmonie t\u011Blesn\u00E9ho, psychick\u00E9ho a soci\u00E1ln\u00EDho v\u00FDvoje)."@cs . "Palyzov\u00E1, Daniela" . "11120" . "36"^^ . . . "Bolest: Monografie algeziologie" . "Types of pain and their treatment. Pain in children"@en . . . "5. Typy bolesti a jejich l\u00E9\u010Dba: D\u011Btsk\u00E1 bolest"@cs . . "Tigis" . "183525" . "Types of pain and their treatment. Pain in children"@en . . "Z(MSM0021620816)" . "treatment; preventiv; pain assessment; chronic pain; acute; pain in children"@en . . "747"^^ . "6"^^ . . . "Praha" . . . "The chapter presents the basic view of pain during childhood, its identification, pharmacological and nonpharmacological treatments, and prevention. A separate part deals with recurring abdominal pain, headaches (primary and secondary), motor apparatus pain (of mechanical and imflammatory character), newborn pain and postoperative analgesia. Neurobiological research of recent decades has made significant inroads into understanding the development of the nervous system and pathophysiology of pain. The involved anatomical structures and their functions responsible for transmission and modulation of pain are present already in fetuses at 26 weeks of gestation. The goal of early detection and treatment of childhood pain is the prevention of its long-term consequences (worse tolerance and increased sensitivity to pain, tendency toward anxiety, hyperactivity, changes in temperament, level of speech and memory). Due to the interindividual variability of pain perception, its assessment requires measuring of quality, intensity and location of pain, using appropriate tools and scales by the personnel and/or the patient himself. Pain categories (acute, chronic/recurrent) vary by duration, usual reactivity of the patient and the preventative or therapeutic approach.15-20% of children and adolescents suffer from chronic/recurrent pain (most frequently headaches, abdominal and motor apparatus pain). In some patients, pain is a stress signal, manifested clinically by somatic or emotional expressions."@en . . "1"^^ . "[CE61B90C0610]" . "V rozsahu kapitoly je zm\u00EDn\u011Bn z\u00E1kladn\u00ED pohled na bolest v obdob\u00ED d\u011Btstv\u00ED, mo\u017Enosti jej\u00ED identifikace, nefarmakologick\u00E9 a farmakologick\u00E9 l\u00E9\u010Dby a prevence. Ve speci\u00E1ln\u00ED \u010D\u00E1sti je v\u011Bnov\u00E1na pozornost problematice opakovan\u00FDch bolest\u00ED b\u0159icha, hlavy (prim\u00E1rn\u00ED, sekund\u00E1rn\u00ED) a pohybov\u00E9ho apar\u00E1tu (bolest mechanick\u00E9ho, z\u00E1n\u011Btliv\u00E9ho charakteru), novorozeneck\u00E9 bolesti a poopera\u010Dn\u00ED analgezii. Neurobiologick\u00FD v\u00FDzkum shrom\u00E1\u017Edil v posledn\u00EDch desetilet\u00EDch nov\u00E9 poznatky o v\u00FDvoji nervov\u00E9ho syst\u00E9mu a patofyziologii bolesti. P\u0159\u00EDslu\u0161n\u00E9 anatomick\u00E9 struktury a jejich funkce, odpov\u00EDdaj\u00EDc\u00ED za p\u0159enos a modulov\u00E1n\u00ED bolesti jsou p\u0159\u00EDtomny ji\u017E u f\u00E9tu ve 26. t\u00FDdnu gesta\u010Dn\u00EDho v\u011Bku. C\u00EDlem v\u010Dasn\u00E9ho rozpozn\u00E1n\u00ED a l\u00E9\u010Dby d\u011Btsk\u00E9 bolesti je prevence jej\u00EDch dlouhodob\u00FDch d\u016Fsledk\u016F (hor\u0161\u00ED tolerance a vy\u0161\u0161\u00ED senzitivita k bolesti, sklon k \u00FAzkostnosti, hyperaktivita, zm\u011Bny temperamentu, \u00FArovn\u011B \u0159e\u010Di, pam\u011Bti). Vzhledem k interindividu\u00E1ln\u00ED variabilit\u011B vn\u00EDm\u00E1n\u00ED bolesti vy\u017Eaduje (pain assessment) m\u011B\u0159en\u00ED kvality, intenzity a lokalizace bolesti pou\u017Eit\u00ED pom\u016Fcek a stupnic (scales) hodnocen\u00ED person\u00E1lem \u010Di pacientem samotn\u00FDm. Kategorie bolesti (akutn\u00ED, chronick\u00E1 /rekurentn\u00ED) se vz\u00E1jemn\u011B li\u0161\u00ED dobou trv\u00E1n\u00ED, obvyklou reaktivitou pacienta a preventivn\u00EDm \u010Di l\u00E9\u010Debn\u00FDm p\u0159\u00EDstupem. Chronick\u00E1/rekurentn\u00ED bolest postihuje a\u017E 15-20% d\u011Bt\u00ED a dosp\u00EDvaj\u00EDc\u00EDch (nej\u010Dast\u011Bji bolest hlavy, b\u0159icha, pohybov\u00E9ho apar\u00E1tu). U \u010D\u00E1sti pacient\u016F jde o sign\u00E1l stresu, manifestuj\u00EDc\u00ED se klinicky somatick\u00FDmi a emo\u010Dn\u00EDmi projevy (poruchy fyziologick\u00FDch funkc\u00ED, funkce imunitn\u00EDho syst\u00E9mu, neuroendokrinn\u00ED osy, disharmonie t\u011Blesn\u00E9ho, psychick\u00E9ho a soci\u00E1ln\u00EDho v\u00FDvoje)." . . . .