Bowel and bladder management in children with disabilities
Bowel and bladder management in children with disabilities
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残疾儿童的肠道和膀胱管理
DOI：
10.1054/cupe.2000.0158
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
U. Butler
中科院分区：
文献类型：
--
作者：
K. Price;U. Butler
摘要大便和尿失禁在有其他特殊需要的儿童中都很常见。每个孩子都是一个个体，他们的可控性不能与他们的其他问题分开来考虑。发育迟缓和其他困难，如行动不便和注意力缺陷障碍，干扰了儿童对大便或尿液必要性的认识。便秘很常见，可能表现为溢液、污垢或尿液。神经性肠道和膀胱，如在脊柱裂和脊髓缺陷中发现的，可能存在。必须对这些儿童进行适当的识别和调查，以确定哪些儿童的上肾功能保护是优先事项。在这些儿童中，完全可控可能是不可能的，但描述了可能允许社会可控和更大独立性的内科和外科技术。无论是什么原因，控制应始终与孩子的其他困难一起评估和处理。大小便失禁的社会和情感影响不应该被低估，它本身不应该导致教育上的不利。
Abstract Faecal and urinary incontinence are both common in children with additional special needs. Each child is an individual and their continence cannot be considered in isolation from their other problems. Developmental delay and other difficulties as in dyspraxia and attention-deficit disorder interfere with the child's recognition of the need to pass stool or urine. Constipation is common and may present as overflow soiling or wetting. Neuropathic bowel and bladder, as found in spina bifida and spinal cord defects, may be present. These children must be recognized and investigated appropriately in order to identify those where preservation of the upper renal tract function is a priority. In these children, full continence may not be possible but medical and surgical techniques are described which may allow social continence and greater independence. Whatever the cause, continence should always be assessed and managed alongside the child's other difficulties. The social and emotional effects of incontinence should not be underestimated and it should not, by itself, result in educational disadvantage.