Короткий опис (реферат):
Neurogenic voiding dysfunction (NVD) is the result of the functional inability of the
urinary bladder associated with neural dysregulation mechanisms at different levels. During
the period when a child grows and thrives, the most important body systems develop. So, the
influence of any traumatic events on children has very severe and delayed negative consequences.
Post-traumatic stress disorder (PTSD) not only disrupts the psychological state of the child but
also provokes a number of pathologies, leading to the progression of already existing problems,
especially those associated with a neurovegetative imbalance. Elucidation of the causes and
mechanisms of NVD development, which arose against the background of PTSD, gains ground
in wartime.
NVD in children is often combined with psychobehavioral (attention deficit and hyperactivity
disorders, dissociative episodes, increased anxiety, insomnia, night terrors, eating disorders) and
somatic (pathology of the digestive, cardiovascular, endocrine systems, infectious diseases, etc.)
problems that are exacerbated by PTSD.
Close anatomic-functional and neurovegetative interaction of the pelvic organs determines
the development of concomitant colonic dysfunction, which very often accompanies NVD.
Unfortunately, because of the great variety of clinical manifestations of bladder and bowel
dysfunction, the combined pathology is often overlooked, and diagnosed late, which negatively
affects the child’s quality of life and psychological state.
Attention to the combined dysfunction of the bladder and bowel, timely diagnosis and proper
correction with the use of pathogenetic-directed therapy, adequate nutrition, and long-term
psycho-rehabilitation measures are necessary measures in the effective management of children
in wartime.
