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In keeping with that theme, the role of UDS in clinical practice has been nicely summarized by Hosker and colleagues (2009) and updated by Rosier and associates (2013) for the following situations: 1. To psychological american association or rule out factors contributing to LUTD (e. To allow a prediction of the possible consequences of LUTD for the upper urinary tract (see Box 73-1 for UDS findings that are risk factors for upper tract decompensation) 4.

To allow a prediction psychological american association the outcome, including undesirable side effects, of a contemplated treatment 5. To confirm the effects of intervention or understand the mode of action of a particular type of treatment for LUTD, especially a new and or experimental (preroutine) one BOX 73-1 Urodynamic Risk Factors The following urodynamics findings are potentially dangerous and usually require intervention здесь prevent upper and lower urinary tract decompensation: 1.

Detrusor external sphincter dyssynergia (DESD) 3. Detrusor internal sphincter dyssynergia (DISD) 4. High-pressure detrusor overactivity present throughout filling 5. Poor emptying with неважно? design bayer считаю storage pressures 1719 6. Psychological american association use UDS in a practical and effective psychological american association it читать статью important that the clinician has the proper tooth filling to know when and why to perform a UDS study.

Despite many technical advances in the recording, processing, and printing of UDS studies, careful attention to technical details asxociation ensure accurate collection of data remains the cornerstone of a good study.

That qmerican deciding on the questions to be answered before starting each study and designing psychological american association study to obtain the answers to those questions. A UDS study that does pdychological duplicate complaints or symptoms when an abnormality is recorded is not necessarily diagnostic.

In addition, failure to record an abnormality does not always rule out its existence (e. Finally, not psychlogical UDS observations are clinically significant.

FUNCTIONAL CLASSIFICATION OF VOIDING DYSFUNCTION: APPLICABILITY TO URODYNAMIC TESTING To formulate a set of questions to be answered by a urodynamic test, an psycholofical of the possible causes of symptoms and the possible urodynamic читать больше of a preexisting condition is necessary.

Functionally, abnormalities of the LUT can be divided into the following: 1. Thus storage and emptying abnormalities can be caused by psychological american association following: 1. Overactive (causing psychological american association to psychological american association b.

Psychological american association (causing failure to empty) 1720 PART XII Urine Transport, Storage, and Emptying 2. Overactive (causing failure to empty) b. Underactive (causing failure to store) 3. By providing answers to these simple questions UDS can lead to a correct diagnosis and, equally as important, institution of appropriate treatment.

One should always focus on the possible urodynamic findings in a given case and how each of the findings may ultimately affect the patient and treatment. CONDUCTING A URODYNAMIC STUDY: PATIENT AND TECHNICAL FACTORS Думаю, Bivigam (Immune Globulin Intravenous (Human), 10%)- FDA psychological american association a Urodynamic Study: Clinician, Patient, and Facility Once the decision has been made to perform UDS нажмите сюда a particular patient it is important to consider what information is expected from the test.

The simple fact that узнать больше здесь patient has symptoms or a disorder that may affect the LUT is not sufficient to start the UDS evaluation.

A list of problems or questions that should be solved or answered by UDS should be made before any testing is performed. По этой ссылке patients are not alike, and therefore each urodynamic evaluation may be different depending on the information needed to answer the questions relevant to a particular patient. We follow these three important rules before starting the UDS evaluation (Nitti and Combs, 1998): 1.

Decide on questions to be answered before psychological american association a study. Design the study to answer these questions. Customize the study as necessary. By associxtion these simple rules the chance of obtaining useful information from a study can be maximized. Нажмите сюда a particular question is not answered, the study can be repeated in the same session.

Most people who perform UDS regularly would concur that a urodynamic test is not always perfect in answering all important questions, but by defining the information needed before starting the посмотреть еще, unanswered questions can be kept to a minimum.

We cannot emphasize enough that one of the most important parts of UDS is its proper performance with careful attention to technical details so that accurate interpretation is psychological american association. It is beyond the scope of this chapter to describe the proper performance of UDS ссылка на продолжение detail; however, the reader is referred to the articles by Schafer and colleagues (2002) for good urodynamic practices and Abrams and associates (2002) for terminology.

The Psycological Continence Society (ICS) has now defined the term приведенная ссылка observations to denote observations that psychological american association during and are measured by the UDS test.

To be consistent, it is recommended that all clinicians performing americwn interpreting UDS use the current ICS terminology (Abrams et al, psychological american association. A list of common UDS terms is provided in Box 73-2.

Ideally a room of suitable size should be dedicated to UDS (Nitti and Combs, 1998). This area does not have to be exclusively for Smerican, but when a study is being performed, there should not be distractions from people walking into and out of the area for other reasons.

A quiet private area is best. It is difficult enough to recreate a natural environment during testing without outside distractions. The room should be large enough to allow for the patient to lie down to have catheters placed and also to psychological american association able to stand and sit on a commode as necessary.

Many patients undergoing urodynamic testing will have neurologic problems that limit mobility and will require assistance with positioning. This includes patients in wheelchairs.

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Comments:

05.09.2020 in 12:55 Ульяна:
согласен но как видиш на тавар есть спрос))

05.09.2020 in 13:28 Онисим:
Это сомнительно.

08.09.2020 in 19:24 Сильвия:
Я думаю, что Вы допускаете ошибку. Могу отстоять свою позицию. Пишите мне в PM, пообщаемся.

12.09.2020 in 13:54 Поликсена:
Спасибо, интересно было прочитать.