40 research outputs found
ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠΈΡ ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ Π΄Π΅ΡΠ΅ΠΉ ΠΈ ΠΏΠΎΠ΄ΡΠΎΡΡΠΊΠΎΠ² Ρ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΏΠΈΡΠ΅Π²Π°ΡΠ΅Π½ΠΈΡ
Objective: The present study was aimed at the psychological characteristics of children with different chronic diseases of the digestive system and the identificationΒ of key factors influencing the formation of their personality.Methods: The continuous prospective study of psychological peculiarities of 125 patientsΒ (7β17 y.o.) with diseases of the digestive system who have been monitored at Scientific Centre of Childrenβs Health (Moscow) was performed. As researchΒ methods were used: analysis of medical and pedagogical documentation, participant observation, educational experiment, interview, questionnaires andΒ projective methods.Results: The study involved 125 patients aged 7β17 years (12.4 averagely) with diseases of the digestive system including teens β 68Β (54%), primary school pupil β 57 (46%). The number of boys significantly prevailed over the number of girls (2:1). The study confirmed the existence of aΒ close relationship and mutual influence of three factors: the physical condition, social situation of development, and individual psychological characteristicsΒ of children. According to the psychological characteristics the children can be combined in three groups: Group I (47 of 125 people; 37.6%) β children withΒ bad psychological status. This is most typical for children with active form of chronic diseases requiring intensive medical assistance (37 of 47 people; 78.7%).Β Group II (59 of 125 people; 47.2%) β children with instable psychological condition, with risk of neurotization. This group mainly comprises patients withΒ chronic diseases at the stage of unstable clinical remission with preserved or compensated functions of organism bodies and systems or with incomplete compensationΒ of functions requiring long term supportive treatment (45 of 59 people; 76.3%). Group III β patients with rather stable psychological condition (19Β of 125 people; 15.2%). It comprises patients with rather stable psychological condition, anyway, with expressed psychological vulnerability in stress situation.Β Most children suffer from chronic diseases of different etiology at the stage of clinical remission with rare aggravations, with preserved or compensated functions,Β provided there are no aggravations of the basic disease (17 of 19 people; 89.5%).Conclusion: Most children with diseases of the digestive system have theΒ psychological difficulties, while their identity is often formed in the distorted social conditions. Therefore, these children need psychological and pedagogicalΒ support, as well the special psychological and pedagogical conditions for the realization of their mental and cognitive capacities. To put together a programΒ of psychological and educational assistance we should take into account the childβs age at the moment of occurrence of the disease, etiology, duration andΒ severity of the illness, the nature and degree of non-compliance of social environmental.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΠΈΠ·ΡΡΠΈΡΡ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ Π΄Π΅ΡΠ΅ΠΉ Ρ ΡΠ°Π·Π»ΠΈΡΠ½ΡΠΌΠΈ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΏΠΈΡΠ΅Π²Π°ΡΠ΅Π½ΠΈΡ ΠΈ ΡΡΡΠ°Π½ΠΎΠ²ΠΈΡΡΒ ΠΎΡΠ½ΠΎΠ²Π½ΡΠ΅ ΡΠ°ΠΊΡΠΎΡΡ, Π²Π»ΠΈΡΡΡΠΈΠ΅ Π½Π° ΠΏΡΠΎΡΠ΅ΡΡ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π»ΠΈΡΠ½ΠΎΡΡΠΈ.ΠΠ΅ΡΠΎΠ΄Ρ: ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΡΠΏΠ»ΠΎΡΠ½ΠΎΠ΅ ΠΏΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Β ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ Π΄Π΅ΡΠ΅ΠΉ Ρ Π±ΠΎΠ»Π΅Π·Π½ΡΠΌΠΈ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΏΠΈΡΠ΅Π²Π°ΡΠ΅Π½ΠΈΡ, Π½Π°Π±Π»ΡΠ΄Π°Π²ΡΠΈΡ
ΡΡ Π² ΠΠ°ΡΡΠ½ΠΎΠΌ ΡΠ΅Π½ΡΡΠ΅ Π·Π΄ΠΎΡΠΎΠ²ΡΡ Π΄Π΅ΡΠ΅ΠΉ ΠΠΈΠ½Π·Π΄ΡΠ°Π²Π° Π ΠΎΡΡΠΈΠΈ (ΠΠΎΡΠΊΠ²Π°). Π ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π±ΡΠ»ΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½Ρ Π°Π½Π°Π»ΠΈΠ· ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΈ ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π΄ΠΎΠΊΡΠΌΠ΅Π½ΡΠ°ΡΠΈΠΈ, Π²ΠΊΠ»ΡΡΠ΅Π½Π½ΠΎΠ΅ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΠ΅, Π±Π΅ΡΠ΅Π΄Π°, ΠΎΠΏΡΠΎΡΠ½ΡΠΉΒ ΠΈ ΠΏΡΠΎΠ΅ΠΊΡΠΈΠ²Π½ΡΠΉ ΠΌΠ΅ΡΠΎΠ΄Ρ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ: ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΎ 125 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ 7β17 (ΡΡΠ΅Π΄Π½ΠΈΠΉ Π²ΠΎΠ·ΡΠ°ΡΡ 12,4) Π»Π΅Ρ Ρ Π±ΠΎΠ»Π΅Π·Π½ΡΠΌΠΈ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΏΠΈΡΠ΅Π²Π°ΡΠ΅Π½ΠΈΡ, ΠΈΠ· Π½ΠΈΡ
ΠΏΠΎΠ΄ΡΠΎΡΡΠΊΠΎΠ² β 68 (54%), ΠΌΠ»Π°Π΄ΡΠΈΡ
ΡΠΊΠΎΠ»ΡΠ½ΠΈΠΊΠΎΠ² β 57 (46%). Π§ΠΈΡΠ»ΠΎ ΠΌΠ°Π»ΡΡΠΈΠΊΠΎΠ² ΠΏΡΠ΅ΠΎΠ±Π»Π°Π΄Π°Π»ΠΎ Π½Π°Π΄ ΡΠΈΡΠ»ΠΎΠΌ Π΄Π΅Π²ΠΎΡΠ΅ΠΊ (2:1). Π ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈΒ ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½ΠΎ Π½Π°Π»ΠΈΡΠΈΠ΅ ΡΠ²ΡΠ·ΠΈ ΠΈ Π²Π·Π°ΠΈΠΌΠ½ΠΎΠ³ΠΎ Π²Π»ΠΈΡΠ½ΠΈΡ 3 ΡΠ°ΠΊΡΠΎΡΠΎΠ² β ΡΠΈΠ·ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ, ΡΠΎΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΡΠΈΡΡΠ°ΡΠΈΠΈ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΈ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»ΡΠ½ΡΡ
Β ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊ Π΄Π΅ΡΠ΅ΠΉ. ΠΠΎ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΡΠΌ Π΄Π΅ΡΠ΅ΠΉ ΠΌΠΎΠΆΠ½ΠΎ Π±ΡΠ»ΠΎ ΠΎΠ±ΡΠ΅Π΄ΠΈΠ½ΠΈΡΡ Π² 3 Π³ΡΡΠΏΠΏΡ: I (n =47; 37,6%) β Π΄Π΅ΡΠΈΒ Π² ΡΡΠΆΠ΅Π»ΠΎΠΌ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ ΡΠΎΡΡΠΎΡΠ½ΠΈΠΈ, Ρ Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²Π° ΠΈΠ· ΠΊΠΎΡΠΎΡΡΡ
(n =37; 78,7%) Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ Π½Π°Ρ
ΠΎΠ΄ΠΈΠ»ΠΎΡΡ Π² Π°ΠΊΡΠΈΠ²Π½ΠΎΠΉ ΡΡΠ°Π΄ΠΈΠΈ, ΡΡΠ΅Π±ΡΡΡΠ΅ΠΉΒ ΠΈΠ½ΡΠ΅Π½ΡΠΈΠ²Π½ΠΎΠΉ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ; II (n =59; 47,2%) β Π΄Π΅ΡΠΈ Ρ Π½Π΅ΡΡΡΠΎΠΉΡΠΈΠ²ΡΠΌ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ΠΌ ΠΈ Π²ΡΡΠΎΠΊΠΈΠΌ ΡΠΈΡΠΊΠΎΠΌ Π½Π΅Π²ΡΠΎΡΠΈΠ·Π°ΡΠΈΠΈΒ Π»ΠΈΡΠ½ΠΎΡΡΠΈ, Ρ ΠΌΠ½ΠΎΠ³ΠΈΡ
ΠΈΠ· ΠΊΠΎΡΠΎΡΡΡ
(n =45; 76,3%) Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ Π½Π°Ρ
ΠΎΠ΄ΠΈΠ»ΠΎΡΡ Π² ΡΡΠ°Π΄ΠΈΠΈ Π½Π΅ΡΡΠΎΠΉΠΊΠΎΠΉ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΠΌΠΈΡΡΠΈΠΈ Ρ ΡΠΎΡ
ΡΠ°Π½Π΅Π½Π½ΡΠΌΠΈ ΠΈΠ»ΠΈ ΠΊΠΎΠΌΠΏΠ΅Π½ΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌΠΈ ΡΡΠ½ΠΊΡΠΈΡΠΌΠΈ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΈ ΡΠΈΡΡΠ΅ΠΌ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ° Π»ΠΈΠ±ΠΎ Π½Π΅ΠΏΠΎΠ»Π½ΠΎΠΉ ΠΊΠΎΠΌΠΏΠ΅Π½ΡΠ°ΡΠΈΠ΅ΠΉ ΡΡΠ½ΠΊΡΠΈΠΉ, ΡΡΠ΅Π±ΡΡΡΠ΅ΠΉ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΈΠ²Π°ΡΡΠ΅Π³ΠΎΒ Π»Π΅ΡΠ΅Π½ΠΈΡ; III (n =19; 15,2%) β ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Ρ ΠΎΡΠ½ΠΎΡΠΈΡΠ΅Π»ΡΠ½ΠΎ ΡΡΠ°Π±ΠΈΠ»ΡΠ½ΡΠΌ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ΠΌ ΠΈ Π²ΡΡΠΎΠΊΠΎΠΉ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΠ·Π²ΠΈΠΌΠΎΡΡΡΡΒ Π² ΡΠΈΡΡΠ°ΡΠΈΠΈ ΡΡΡΠ΅ΡΡΠ°, Ρ Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²Π° ΠΈΠ· ΠΊΠΎΡΠΎΡΡΡ
(n =17; 89,5%) Π±ΠΎΠ»Π΅Π·Π½Ρ ΠΏΠ΅ΡΠ΅ΡΠ»Π° Π² ΡΡΠ°Π΄ΠΈΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΠΌΠΈΡΡΠΈΠΈ c ΡΠ΅Π΄ΠΊΠΈΠΌΠΈ ΠΎΠ±ΠΎΡΡΡΠ΅Π½ΠΈΡΠΌΠΈ, ΡΒ ΡΠΎΡ
ΡΠ°Π½Π½ΡΠΌΠΈ ΠΈΠ»ΠΈ ΠΊΠΎΠΌΠΏΠ΅Π½ΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌΠΈ ΡΡΠ½ΠΊΡΠΈΡΠΌΠΈ, ΡΡΠ΅Π±ΡΡΡΡΡ ΡΠ΅Π³ΡΠ»ΡΡΠ½ΠΎΠ³ΠΎ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ Π²ΡΠ°ΡΠ°ΠΌΠΈ-ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡΠ°ΠΌΠΈ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅: Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ Π΄Π΅ΡΠ΅ΠΉΒ Ρ Π±ΠΎΠ»Π΅Π·Π½ΡΠΌΠΈ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΏΠΈΡΠ΅Π²Π°ΡΠ΅Π½ΠΈΡ ΠΈΠΌΠ΅ΡΡ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΡΡΠ΄Π½ΠΎΡΡΠΈ, ΠΈ ΠΈΡ
Π»ΠΈΡΠ½ΠΎΡΡΡ ΡΠΎΡΠΌΠΈΡΡΠ΅ΡΡΡ Π² ΠΈΡΠΊΠ°ΠΆΠ΅Π½Π½ΡΡ
ΡΠΎΡΠΈΠ°Π»ΡΠ½ΡΡ
ΡΡΠ»ΠΎΠ²ΠΈΡΡ
, Π²Π²ΠΈΠ΄ΡΒ ΡΠ΅Π³ΠΎ ΠΎΠ½ΠΈ Π½ΡΠΆΠ΄Π°ΡΡΡΡ Π² ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΎ-ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΠ΅ ΠΈ ΡΠΎΠ·Π΄Π°Π½ΠΈΠΈ ΡΠΏΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΡ
ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΎ-ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΡΠ»ΠΎΠ²ΠΈΠΉ Π΄Π»Ρ ΡΠ΅Π°Π»ΠΈΠ·Π°ΡΠΈΠΈ ΠΈΡ
ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈ ΠΏΠΎΠ·Π½Π°Π²Π°ΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΏΠΎΡΠ΅Π½ΡΠΈΠ°Π»Π°. ΠΡΠΈ ΡΠΎΡΡΠ°Π²Π»Π΅Π½ΠΈΠΈ ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΡ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΎ-ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎ ΡΡΠΈΡΡΠ²Π°ΡΡ Π²ΠΎΠ·ΡΠ°ΡΡΒ ΡΠ΅Π±Π΅Π½ΠΊΠ° Π½Π° ΠΌΠΎΠΌΠ΅Π½Ρ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΡ Π±ΠΎΠ»Π΅Π·Π½ΠΈ, ΡΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡ ΠΈ ΡΡΠ΅ΠΏΠ΅Π½Ρ ΡΡΠΆΠ΅ΡΡΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΡΠ΅Π±Π΅Π½ΠΊΠ°, Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ, Ρ
Π°ΡΠ°ΠΊΡΠ΅Ρ ΠΈ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΡΒ Π½Π΅ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΠΈΡ ΡΠΎΡΠΈΠ°Π»ΡΠ½ΡΡ
ΡΡΠ»ΠΎΠ²ΠΈΠΉ ΡΡΠ΅Π΄Ρ Π΅Π³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ½ΡΠΌ ΠΈ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»ΡΠ½ΡΠΌ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΏΠΎΡΡΠ΅Π±Π½ΠΎΡΡΡΠΌ
ΠΠ°ΡΠΎΠΌΠΎΡΡΠΎΠ· Π²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΡΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΊΠΈΡΠ΅ΡΠ½ΠΈΠΊΠ°
Inflammatory bowel diseases (IBD) are immune-mediated diseases and usually manifest at a young age. They are requires in a long-term treatment or surgery with a high probability of surgical intervention. IBDs are accompanied by a decrease in working capacity, impaired quality of life and social disadaptation. However, timely diagnosis with using modern diagnostic methods, the use of evidence-based immunosuppressive and biological therapy significantly changed the pathomorphosis of this disease. But despite the achievements of the pharmacotherapy, the incidence and prevalence of IBD are still increasing, a demand for surgery remains both for Crohn`s disease and ulcerative colitis throughout all the period of illness. At the same time there is a trend towards the variability of symptoms, mismatch of the clinical symptoms with the real severity of inflammation, increase of a number of patients with extraintestinal manifestations and resistance to induction and maintenance therapies. In addition to this, the observation of this group of patients is complicated due to the difficulty of the early diagnosis and differential analysis of IBD, the need of early induction treatment according to the guidelines and the lack of adherence to the therapy.ΠΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΡΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΊΠΈΡΠ΅ΡΠ½ΠΈΠΊΠ° (ΠΠΠ) ΠΎΡΠ½ΠΎΡΡΡΡΡ ΠΊ ΠΈΠΌΠΌΡΠ½ΠΎΠΎΠΏΠΎΡΡΠ΅Π΄ΠΎΠ²Π°Π½Π½ΡΠΌ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌ, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΎΠ±ΡΡΠ½ΠΎ ΠΌΠ°Π½ΠΈΡΠ΅ΡΡΠΈΡΡΡΡ Π² ΠΌΠΎΠ»ΠΎΠ΄ΠΎΠΌ Π²ΠΎΠ·ΡΠ°ΡΡΠ΅, ΡΡΠ΅Π±ΡΡΡ ΠΏΠΎΠΆΠΈΠ·Π½Π΅Π½Π½ΠΎΠΉ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ Ρ ΡΠ°ΡΡΡΠΌ ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ΠΌ Π²ΠΎΠΏΡΠΎΡΠ° ΠΎ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π΅, ΡΡΠΎ ΡΠΎΠΏΡΠΎΠ²ΠΎΠΆΠ΄Π°Π΅ΡΡΡ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΡΡΡΠ΄ΠΎΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΠΈ, Π½Π°ΡΡΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° ΠΆΠΈΠ·Π½ΠΈ ΠΈ ΡΠΎΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π΄Π΅Π·Π°Π΄Π°ΠΏΡΠ°ΡΠΈΠΈ. ΠΠ΄Π½Π°ΠΊΠΎ ΡΠ²ΠΎΠ΅Π²ΡΠ΅ΠΌΠ΅Π½Π½Π°Ρ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ° Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ², ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΈΠΌΠΌΡΠ½ΠΎΡΡΠΏΡΠ΅ΡΡΠΈΠ²Π½ΠΎΠΉ ΠΈ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΏΡΠΈΠ²Π΅Π»ΠΈ ΠΊ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΌΡ, Ρ ΠΏΠΎΠ·ΠΈΡΠΈΠΈ Π΄ΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½Ρ, ΠΏΠ°ΡΠΎΠΌΠΎΡΡΠΎΠ·Ρ Π΄Π°Π½Π½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ. ΠΠ΅ΡΠΌΠΎΡΡΡ Π½Π° Π΄ΠΎΡΡΠΈΠΆΠ΅Π½ΠΈΡ ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠ΅ΡΠ°ΠΏΠΈΠΈ, ΠΎΡΠΌΠ΅ΡΠ°Π΅ΡΡΡ ΡΠΎΡΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡΠΈ ΠΈ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΠΎΡΡΠΈ ΠΠΠ, ΡΠΎΡ
ΡΠ°Π½ΡΠ΅ΡΡΡ ΠΏΠΎΡΡΠ΅Π±Π½ΠΎΡΡΡ Π² Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π°Ρ
ΠΊΠ°ΠΊ ΠΏΡΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΡΠΎΠ½Π°, ΡΠ°ΠΊ ΠΈ ΠΏΡΠΈ ΡΠ·Π²Π΅Π½Π½ΠΎΠΌ ΠΊΠΎΠ»ΠΈΡΠ΅ Π½Π° ΠΏΡΠΎΡΡΠΆΠ΅Π½ΠΈΠΈ Π²ΡΠ΅Π³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π° Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ, Π½ΠΎ ΠΏΡΠΈ ΡΡΠΎΠΌ ΠΎΡΠΌΠ΅ΡΠ°Π΅ΡΡΡ ΡΡΠ°Π½ΡΡΠΎΡΠΌΠ°ΡΠΈΡ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΠΠ Π² ΡΡΠΎΡΠΎΠ½Ρ Π±ΠΎΠ»ΡΡΠ΅ΠΉ Π²Π°ΡΠΈΠ°Π±Π΅Π»ΡΠ½ΠΎΡΡΠΈ ΡΠΈΠΌΠΏΡΠΎΠΌΠ°ΡΠΈΠΊΠΈ, Π½Π΅ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΠΈΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠΈΠΌΠΏΡΠΎΠΌΠΎΠ² Ρ ΡΠ΅Π°Π»ΡΠ½ΠΎΠΉ ΡΡΠΆΠ΅ΡΡΡΡ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ, ΡΠΎΡΡΠ° Π΄ΠΎΠ»ΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π²Π½Π΅ΠΊΠΈΡΠ΅ΡΠ½ΡΠΌΠΈ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΡΠΌΠΈ ΠΈ ΡΠ΅Π·ΠΈΡΡΠ΅Π½ΡΠ½ΠΎΡΡΡΡ ΠΊ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠ°ΠΌ ΠΈΠ½Π΄ΡΠΊΡΠΈΠΎΠ½Π½ΠΎΠΉ ΠΈ Π±Π°Π·ΠΈΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ. ΠΠΌΠ΅ΡΡΠ΅ Ρ ΡΠ΅ΠΌ ΡΡΡΠ΅ΡΡΠ²ΡΡΡ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ ΠΏΡΠΈ ΠΊΡΡΠ°ΡΠΈΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π΄Π°Π½Π½ΠΎΠΉ ΠΊΠ°ΡΠ΅Π³ΠΎΡΠΈΠΈ: ΡΡΡΠ΄Π½ΠΎΡΡΠΈ Π² ΡΠ°Π½Π½Π΅ΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ ΠΈ Π΄ΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ ΠΠΠ, Π½Π°Π»ΠΈΡΠΈΠ΅ ΠΎΠΏΡΡΠ° ΠΈ Π½Π°Π²ΡΠΊΠΎΠ² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ Π²Π½Π΅ΠΊΠΈΡΠ΅ΡΠ½ΡΡ
ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠΉ, Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ ΡΠ°Π½Π½Π΅Π³ΠΎ ΠΈ ΡΠ²ΠΎΠ΅Π²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠ³ΠΎ Π½Π°ΡΠ°Π»Π° ΡΠ΅ΡΠ°ΠΏΠΈΠΈ Ρ ΡΡΠ΅ΡΠΎΠΌ ΡΡΡΠ΅ΡΡΠ²ΡΡΡΠΈΡ
ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΉ, Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½Π°Ρ ΠΏΡΠΈΠ²Π΅ΡΠΆΠ΅Π½Π½ΠΎΡΡΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΊ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΈ Π΄Ρ
MICROECOLOGICAL AND FUNCTIONAL ABNORMALITIES OF INTESTINES IN CHILDREN WITH CHRONIC CONSTIPATION. METHODS OF CORRECTION
The work contains the follow-up results obtained by the author himself. 51 children with chronic constipation were studied. A complex assessment of microecological and functional abnormalities of intestines in this pathology revealed a reduced level of short-chain fatty acids and anaerobic index, degree I and II dysbiosis, digestion disorder in small intestines. Changes in metabolic activity of intestinal microflora were in line with the functional state of GIT. One of therapy methods for chronic constipation is restoration of normal microflora of large intestines. Absorbents need to be used to influence the pathogenic microflora. Kew words: chronic constipation, treatment, enterosorbents, dioctahedral smectite, children. (Pediatric Pharmacology. β 2010; 7(6):74-76
THE PROBLEM OF CONSTIPATION IN CHILDREN ATTENDING PRESCHOOL INSTITUTIONS
The article is dedicated to functional disorders of colon motility in children. Various reasons of constipation are discussed in this article as well as the possibility of a Dufalac use as a laxative in children with conditioned reflex constipation, in order to overcome painful defecation induced negativism.Key words: constipation, children, treatment, prebiotics. (Voprosy sovremennoi pediatrii βΒ Current Pediatrics. β 2011; 10 (6): 108β110
APPLICATION OF ENZYMATIC MEDICATIONS IN PEDIATRICS
The article considers one of the topical issues of children's gas troenterology β disturbance of the pancreas functioning, its possible reasons and clinical manifestations, as well as diagnostics and treatment issues. The article considers the requirements for enzymatic medications to efficiently correct the excretory insufficiency of the pancreas. The authors describe a high performance medication for this case, demonstrate its features.Key words: excretory insufficiency pancreas, treatment, enzymatic medications, children
APPLICATION OF ENZYMATIC MEDICATIONS IN PEDIATRICS
The article considers one of the topical issues of children's gas troenterology β disturbance of the pancreas functioning, its possible reasons and clinical manifestations, as well as diagnostics and treatment issues. The article considers the requirements for enzymatic medications to efficiently correct the excretory insufficiency of the pancreas. The authors describe a high performance medication for this case, demonstrate its features.Key words: excretory insufficiency pancreas, treatment, enzymatic medications, children
ROLE OF PREBIOTICS IN TREATMENT OF FUNCTIONAL CONSTIPATIONS IN CHILDREN
The article is devoted to the functional disorders of the large bowel motility among children. The authors examine the reasons for the given pathology and opportunities for the lactulose application as a prebiotic within the comprehensive therapy.Key words: constipation, treatment, prebiotics, children
ROLE OF PREBIOTICS IN TREATMENT OF FUNCTIONAL CONSTIPATIONS IN CHILDREN
The article is devoted to the functional disorders of the large bowel motility among children. The authors examine the reasons for the given pathology and opportunities for the lactulose application as a prebiotic within the comprehensive therapy.Key words: constipation, treatment, prebiotics, children