Author/Editor		Marčun-Varda, Nataša; Gregorič, Alojz
Title		Bolečina v trebuhu pri otrocih z boleznimi ledvic in ledvičnih izvodil
Translated title		Management of abdominal pain in children with diseases of the kidney and urinary tract
Type		članek
Source		In: Gregorič A, editor. Bolečine v trebuhu pri otrocih, Sinkopa pri otrocih, Ustno zdravje otrok in mladostnikov. Zbornik 18. srečanje pediatrov in 5. srečanje medicinskih sester; 2008 apr 11-12; Maribor. Maribor: Univerzitetni klinični center,
Publication year		2008
Volume		str. 61-8
Language		slo
Abstract		Pain is a common complaint in patients with kidney disease. A thorough history of the pain characteristics and of associated symptoms and signs is the best clue to its cau-se, together with knowledge of the complex innervation of the kidneys. In the majority of cases, a diagnosis can readily be made with basic diagnostic investigations. Sometimes, an expanded diagnostic work-up is needed. Other diseases of numerous organ systems have to be considered as a possible cause of abdominal or flank pain. In the first place, treatment of the underlying renal disease has to be instituted. For pain management a planned sequential approach is used, starting with measures that are noninvasive, simple and have relatively few side effects. There are various non-pharmacological and pharmacological methods available for treatment. When acute renal colic is suspected, immediate measures are required. For refractory pain, a combination of different modalities may be needed to alleviate the pain and afford the patient a satisfactory quality of life.
Summary		Bolečina je pogosta pritožba bolnikov z ledvično boleznijo. Natančna anamneza o naravi bolečine in o pridruženih simptomih in znakih nas usmeri na njen vzrok, ob tem moramo poznati kompleksno oživčenje ledvic. V večini primerov lahko diagnozo postavimo z osnovnimi diagnostičnimi metodami, včasih je potrebna razširjena diagnostika. Misliti moramo na to, da so vzrok trebušne ali ledvene bolečine lahko tudi bolezni več drugih organskih sistemov. Zdravimo vedno osnovno bolezen. Pri zdravljenju ledvične bolečine uporabimo stopenjski pristop. Začnemo z metodami, ki so neinvazivne, enostavne in imajo malo stranskih učinkov. Na razpolago imamo nefarmakološke in farmakološke metode zdravljenja. Takojšnje ukrepanje je potrebno pri akutni ledvični koliki. Če gre za trdovratno bolečino, je včasih potrebna kombinacija metod, ki bolniku olajšajo bolečino in omogočijo zadovoljivo kakovost življenja.
Descriptors		KIDNEY DISEASES CHILD URINARY TRACT ABDOMINAL PAIN