PRINCIPLES OF SANATORIUM-RESORT REHABILITATION OF CHILDREN IN THE REMISSION OF ONCOLOGICAL DISEASES WITH THE ACCOMPANYING PATHOLOGY OF THE NERVOUS SYSTEM

Shapovalova A. A.

CLINICAL AND EXPERIMENTAL MEDICINE

Scentific article

Modern therapy of children’s oncological diseases (OD), according to domestic and foreign authors, can achieve a 5-year survival rate in 80% of patients. At the same time, no more than 10% of the children cured for OD can be considered practically healthy. Many children experience functional insufficiency of certain organs and systems, chronic diseases develop. Objective. To specify clinical characteristics of the children with concomitant pathology of the nervous system in the treatment of oncological diseases at the stage of sanatorium rehabilitation. Object and methods. 82 children underwent combined therapy of oncohematological diseases were examined. Their medical histories, presence of concomitant pathology, complaints were scrutinised. Instrumental examinationsincluded electroencephalography (EEG) – evaluation of brain bioelectric activity; Echoencephalography (EchoEG) – estimation of liquorodynamics; ultrasound dopplerography (USDG) – evaluation of cerebral circulation. Results. Concomitant pathology was not registered in only 11 (13.4%) of the children under study. In the rest nervous system diseases were diagnosed in 40 (48.8%), gastrointestinal tract pathology in 33 (40.2%), musculoskeletal system pathology in 33 (40.2%), violations of respiratory system in 19 (23.2%), and cardiovascular system disturnbances – in 14 (17.1%) of the children under examination. Among the concomitant pathology of the nervous system vegetative-vascular dystonia was registered in 8 (20%), astheno-neurotic syndrome in 15 (37.5%), cerebrovascular insufficiency in 17 (42.5%) children. The dominating complaints included headaches of local and diffuse nature that arose after fatigue or weather changes, dizziness, increased fatigue and irritability, sleep disorders, hands hidrosis, night terrors, stammering, tic. Neurological examination of the cranial nerves revealed no pathology, tendon and periosteal reflexes were revitalized in 30%, Romper’s tremor in 42%, diffusive staggering in 38.7%, autonomic stigmata in 72% of the children (marbling of skin integuments in 47%, acrohydrosis in 32%, persistent red dermographism in 18% of cases). The instrumental examinations results indicate the presence of certain functional disorders of the nervous system (liquor, hemodynamics, brain electrogenesis). Conclusions. The additional sanogenetic correction of the nervous system lesions in the children with remission of oncological diseases is necessary. The development and implementation of a comprehensive program of family rehabilitation for the children mentioned directed to restore nervous system disorders and improve their life quality should include hydrotherapy, “dry” carbonic baths, magnetotherapy, exercise therapy, massage, family psychological support.

children, oncological diseases, pathology of the nervous system, sanatorium-resort rehabilitation

• Meditsinskaya, psikhologicheskaya i sotsial’naya adaptatsiya detey, izlechennykh ot onkologicheskikh zabolevaniy / Pod red. M.D. Aliyeva. – M.: Prakticheskaya meditsina, 2012. – 160 s.
• Kolygin B.A. Posledstviya protivoopukholevoy terapii u detey / B.A. Kolygin, S.A. Kuleva. – SPb.: Gippokrat, 2011. – 184 s.
• Kaladze N.N. Osobennosti reabilitatsii detey s onkogematologicheskoy patologiyey / N.N. Kaladze, I.V. Karmazina, Ye.M. Mel’tseva // Vestnik fizioterapii i kurortologii. – 2011. – № 4. – S. 47-57.
• Kuznetsova G.V. Reabilitatsiya detey s onkologicheskimi i gematologicheskimi zabolevaniyami v usloviyakh sanatoriya Primor’ya: avtoref. diss. kand. med. nauk / G.V. Kuznetsova. – Vladivostok, 2005. – 24 s.
• Lagunova N.V. Patogenetichne obgruntuvannya sanatorno-kurortnoí̈ reabílítatsíí̈ dítey z onkogematologíchnimi zakhvoryuvannyami: avtoref. dis. dokt. med. nauk / N.V. Lagunova. – K., 2005. – 38 s.
• Neyrofiziologicheskiye issledovaniya v klinike / Red. G.A. Shchekut’yev. – Moskva, «ANTIDOR», 2011. – 232 s.
• Reabílítatsíya dítey íz onkogematologíchnimi zakhvoryuvannyami v sanatorno-kurortnikh umovakh. Posíbnik / Za red. K.D. Babova, V.O. Pobers’koí̈. – Odesa, Optimum, 2010. – 160 s.
• Tkachenko I.V. Sostoyaniye zdorov’ya detey i podrostkov, izlechennykh ot onkogematologicheskikh zabolevaniy: avtoref. diss. dokt. med. nauk / I.V. Tkachenko. – M., 2009. – 57 s.

«Bulletin of problems biology and medicine» Issue 4 Part 3 (141), 2017 year, 242-245 pages, index UDK 616-006-036.66-053.4-071:4-071:616-036.82:615.838

10.29254/2077–4214–2017–4–3–141–242-245