501 KB43 KB200820252016Bregant, TinaGroleger Sršen, KatjaPuzić, Natašaletnik:15številka:2str. 63-72ISSN:1580-9315COBISSID:2235241URN:URN:NBN:SI:doc-2N7W8LI5slUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)AdolescentAutonomic Dysreflexiaavtonomno živčevjeChildmladostnikiotrocipoškodbe hrbtenjačeprevention and controlAvtonomna dizrefleksija pri otrocih in mladostnikih z okvaro hrbtenjače| Autonomic dysreflexia in children and youth with spinal cord lesions|Abstract: We provide an overview of paediatric autonomic dysfunctions in children with spinal cord lesions. We present normal autonomic function as well as dysautonomy after spinal cord lesions. Special attention is paid to dysautonomy crisis % how to recognise and handle it. We present dysautonomy triggers and preventative procedures in order to avoid it, as avoidance of triggers as well as non-pharmalogical measures contribute most to the patient%s well-being. An episode of autonomic dysreflexia should not be overlooked because it represents a medical emergency. However, efficient recognition still represents a challenge. The reasons for that are various: from dysautonomy not being known, to difficulties children in reporting such events, as well as developmental issues, such as bowel and bladder control, which is not mastered till certain age. Developmental immaturity at the time of lesion turns rehabilitation into habilitation. We hope that this review is going to increase awareness of dysautonomy and hence contribute to a better health care of children with spinal cord lesionsPovzetek: V prispevku predstavljamo običajno delovanje avtonomnega živčevja in delovanje po okvari hrbtenjače pri otrocih in mladostnikih. Posebej smo opisali epizodo avtonomne dizrefleksije, kako jo prepoznamo in kako ob njej ukrepamo. Predstavili smo tudi sprožilne dejavnike epizode avtonomne dizrefleksije ter preventivne ukrepe, da do nje sploh ne bi prišlo. Ker so farmakološki ukrepi lahko neuspešni, največ naredimo za bolnika prav z izogibanjem sprožilnim dejavnikom in z nefarmakološkimi ukrepi. Pri otrocih so težave z delovanjem avtonomnega živčevja pogosto spregledane. Razlogi za to so različni: od nepoznavanja problematike do tega, da otroci o tovrstnih težavah težko dovolj razumljivo poročajo. Dodatno težavo lahko predstavlja dejstvo, da majhni otroci niso še niti razvili zavestne kontrole, kot je npr. nadzor nad odvajanjem vode in blata, zato v takih primerih rehabilitacija po poškodbah hrbtenjače pomeni habilitacijo. Upamo, da bomo z osvetlitvijo problema pripomogli k prepoznavi problema in bolj kakovostni obravnavi otrok z okvaro hrbtenjačeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča