bachelorThesis
Disfunção do trato urinário inferior na infância: um relato de caso.
Fecha
2020-11-30Registro en:
RAGALZI, Bárbara Dantas de Senna. Disfunção do trato urinário inferior: um relato de caso. 2020. 25f. Trabalho de Conclusão de Curso (Graduação em Fisioterapia) - Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Natal, 2020.
Autor
Ragalzi, Bárbara Dantas de Senna
Resumen
The Lower urinary tract dysfunction (LUTD) is a term used to identify a series of disturbances in the functioning of the urination phases (filling and emptying), and can affect people of both sexes and all ages. This work, however, will deepen the voiding dysfunction in children. Currently, a series of treatments used to reduce the impacts of DTUIs, from drug use, through the various approaches to physiotherapy, to, in some cases, surgical treatments. All these clinical manifestations generate great discomfort for a child, often generating psychological problems, such as low self-esteem and social isolation, further aggravating the condition. The objective of this study is to report the experience of pelvic physiotherapy care in a child with clinical diagnosis of urinary incontinence. Case description: Patient M.C.L.S, female, 5 (five) years old, with a clinical diagnosis of urinary incontinence associated with recurrent urinary tract infection. Submitted to 19 sessions of physiotherapy of 45 minutes of pelvic physiotherapy with behavioral orientations, pelvic floor muscle training and TENS. The Dysfunctional Voiding Scoring System and Bristol Stool Form Scale (BSFS) were applied. Results: At the end of the treatment, the patient began to urinate with a strong jet, improved nocturnal enuresis and began to evacuate on alternate days with feces with consistency considered normal by the BSFS. Conclusion: Behavioral treatment associated with PFMT and electrostimulation has a good response in the treatment of LUTD in children. However, it is not possible to affirm the individual effectiveness of each of these therapies, because the treatments were performed in a combined manner. Moreover, as the patient also used magnesium chloride, on medical recommendation, it was not possible to measure the influence of the medication in this process.